Pediatrix Medical Group of Florida Inc

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

Legal business name

PEDIATRIX MEDICAL GROUP OF FLORIDA INC

Practice address

4370 W Main St
Dothan, AL 36305-1056

Phone

(334) 793-5000

Fax

(855) 527-5510

NPI assigned

Jun 3, 2021

Organization subpart

No

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

Authorized official

Name

Linda Chen

Title

President

Phone

(800) 243-3839

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Pediatrix Medical Group of Florida Inc252 organizations share this tax ID, including this one

Locations

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1174199640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 CONCORD TER",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232843",
            "telephone_number": "800-243-3839",
            "fax_number": "855-527-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4370 W MAIN ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051056",
            "telephone_number": "334-793-5000",
            "fax_number": "855-527-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIX MEDICAL GROUP OF FLORIDA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-03",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-243-3839"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14449119",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Charles Peacock Jr., M.D.
• Keaton Peak
• Alana Dianne Pearce, DPT
• Christina Irene Pearson, CRNA
• Megan Miranda Peckham, PHARM D
• Madison Carter Pemberton, PT, DPT
• Stephen M Pendergraft, CRNP
• Ginny Ann Gilley Penton, PHARMD
• Perfect Peace Personnel Services LLC
• Bobby Perkins, PT

• Neonatal-Perinatal Medicine Physician in Dothan, AL
• Providers in Dothan, AL by specialty
• Neonatal-Perinatal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.