Individual provider Active NPI

Michael J Given, MD

  • Specialist
  • Fort Walton Beach, FL
National Provider Identifier
1104898980
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0058957 Issued in FL
Practice address
322 Racetrack Rd NE
Fort Walton Beach, FL 32547-2546
Phone
(850) 863-3000
Fax
(850) 374-3200
NPI assigned
Feb 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 180844-1205 UT
Pulmonary Disease Physician 207RP1001X 70035 MT
Specialist 174400000X ME0058957 FL Primary

Addresses

Primary practice location

322 Racetrack Rd NE
Fort Walton Beach, FL 32547-2546

Mailing address

322 Racetrack Rd NE
Fort Walton Beach, FL 32547-2546
Phone (850) 863-3000

Other practice location 1

5979 S Fashion Blvd
Murray, UT 84107
Phone (801) 263-2370

Other practice location 2

2010 Lewis Turner Blvd
Fort Walton Beach, FL 32547-1352
Phone (850) 863-3000

Other identifiers 1

IdentifierTypeStateIssuer
1104898980MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WI, PA, GA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20050629000359 FL Practitioner - Pulmonary DiseasePractitioner - Family PracticePractitioner - Internal Medicine 0042256141 Reassigns benefits to 1 organization
I20181009003035 WI Practitioner - Internal Medicine 0042256141 Reassigns benefits to 1 organization
I20190912001597 PA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 0042256141 Reassigns benefits to 2 organizations
I20200521002925 GA Practitioner - Internal Medicine 0042256141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2010 Lewis Turner Blvd
Fort Walton Beach, FL 32547-1352
Phone (850) 863-3000

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Shalimar, FL, CCN 107240
  • HCA Florida Twin Cities Hospital Hospital, Niceville, FL, CCN 100054
  • HCA Florida Fort Walton-Destin Hospital Hospital, Fort Walton Beach, FL, CCN 100223
  • North Okaloosa Medical Center Hospital, Crestview, FL, CCN 100122
  • Gulf Breeze Hospital Hospital, Gulf Breeze, FL, CCN 100266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0058957FLMDSpecialist
70035MTMDPulmonary Disease Physician
180844-1205UTMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Physician Group Inc CurrentSince Aug 1, 2019 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Phoebe Physician Group, Inc CurrentSince Apr 1, 2020 Accepting new patients
Aspirus Wausau Hospital, Inc. Current Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Aug 1, 2019 Accepting new patients
Wellspan Medical Group CurrentSince Aug 1, 2021 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Oct 27, 2020 Accepting new patients
NW Florida Lung Associates, PA Specialist CurrentSince Aug 4, 1997 Accepting new patients
Wellspan Medical Group CurrentSince Aug 1, 2021 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Oct 27, 2020 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
Bayne Jones Army Community Hospital Pulmonary Disease PastSince Mar 29, 2020 Accepting new patients

Locations

2010 Lewis Turner Blvd
Ft Walton Bch, FL 32547
Phone (850) 863-3000

322 Racetrack Rd NE
Ft Walton Bch, FL 32547
Phone (850) 226-8588

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

2000 Palmyra Rd
Albany, GA 31701
Phone (229) 434-2000

500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

29980 Network Pl
Chicago, IL 60673

516 Jenna Dr
Brodheadsville, PA 18322
Phone (272) 212-4000

239 E Brown St
East Stroudsburg, PA 18301
Phone (570) 421-3872

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

2350 Freedom Way
Ste 202
York, PA 17402
Phone (717) 851-1543

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

Interoperability endpoints

  • Direct secure messaging: michael.given.1@19969.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19969/brand/1/csg/1/fhir/r4

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1104898980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 RACETRACK RD NE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325472546",
            "telephone_number": "850-863-3000",
            "fax_number": "850-374-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 RACETRACK RD NE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325472546",
            "telephone_number": "850-863-3000",
            "fax_number": "850-374-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5979 S Fashion Blvd",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "UT",
            "postal_code": "84107",
            "country_code": "US",
            "telephone_number": "801-263-2370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2010 Lewis Turner Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325471352",
            "country_code": "US",
            "telephone_number": "850-863-3000",
            "fax_number": "850-374-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIVEN",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "UT",
            "license": "180844-1205",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MT",
            "license": "70035",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0058957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104898980",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

Verify at the official NPI Registry.