Individual provider Active NPI

Adam Charles Starbuck, DO

  • Emergency Medicine Physician
  • Tyndall Afb, FL
National Provider Identifier
1124692892
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34.017624 Issued in OH
Practice address
340 Magnolia Cir BLDG 1465
Tyndall Afb, FL 32403-5604
Phone
(520) 275-1167
NPI assigned
May 18, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 58.033050 OH
Emergency Medicine Physician 207P00000X 34.017624 OH Primary

Addresses

Primary practice location

340 Magnolia Cir BLDG 1465
Tyndall Afb, FL 32403-5604

Mailing address

325TH Medical Group
340 Magnolia Circle, BLDG. 1465 Tyndall Afb, FL
Apo, AA 32403-5604
Phone (520) 275-1167

Other practice location 1

340 Magnolia Circle
Apo, AA 32404
Phone (520) 275-1167

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260406002863 FL Practitioner - Emergency Medicine 6901286822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of FL LLCGroup PAC ID 8426413931, 686 clinicians

Practice addresses (Care Compare)

9318 Panama City Beach Pkwy
Panama City Beach, FL 32407-4024
Phone (850) 772-6200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.017624OHMDEmergency Medicine Physician

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1124692892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "325TH MEDICAL GROUP",
            "address_2": "340 MAGNOLIA CIRCLE, BLDG. 1465 TYNDALL AFB, FL",
            "city": "APO",
            "state": "AA",
            "postal_code": "324035604",
            "telephone_number": "520-275-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 MAGNOLIA CIR BLDG 1465",
            "city": "TYNDALL AFB",
            "state": "FL",
            "postal_code": "324035604",
            "telephone_number": "520-275-1167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 Magnolia Circle",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "AA",
            "postal_code": "32404",
            "country_code": "US",
            "telephone_number": "520-275-1167",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "basic": {
        "last_name": "STARBUCK",
        "first_name": "ADAM",
        "middle_name": "CHARLES",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-18",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "58.033050",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.017624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyndall Afb, FL

Sources for this page

Verify at the official NPI Registry.