Individual provider Active NPI

Amir Wind, MD

  • Family Medicine Physician
  • Fernandina Beach, FL
National Provider Identifier
1174588420
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME73820 Issued in FL
Practice address
1210 Vintage Way
Fernandina Beach, FL 32034-0299
Phone
(904) 261-0922
Fax
(904) 390-7477
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME73820 FL Primary
Family Medicine Physician 207Q00000X 63978 GA

Addresses

Primary practice location

1210 Vintage Way
Fernandina Beach, FL 32034-0299

Mailing address

PO Box 746638
Atlanta, GA 30374-6638
Phone (904) 202-2092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20100511000563 GA Practitioner - Family PracticePractitioner - Emergency Medicine 9234173089 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peds and Parents Family Care, LLCGroup PAC ID 0749697878, 3 clinicians

Practice addresses (Care Compare)

124 Andrews Way
Suite B
Saint Marys, GA 31558-1653
Phone (912) 729-7007

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63978GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peds and Parents Family Care, LLC Family Medicine CurrentSince Jun 1, 2021 Accepting new patients
Coffee Emergency Group LLC CurrentSince Sep 16, 2020 Accepting new patients
Emergency Physicians Inc CurrentSince Sep 15, 2016 Accepting new patients
St Vincents Ambulatory Care Inc Past Accepting new patients
First Coast Primary Care Inc Family Medicine Past Accepting new patients
Advanced Pediatric Specialists LLC Past Accepting new patients
Solantic LLC Past Accepting new patients
Emcare Physician Providers, Inc. Past Accepting new patients
Privia Medical Group, LLC Family Medicine PastSince Jun 1, 2021 Accepting new patients
Georgia Emergency Associates Past Accepting new patients

Locations

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

1101 Ocilla Rd
Douglas, GA 31533
Phone (912) 383-5641

124 Andrews Way
Ste B
Saint Marys, GA 31558
Phone (912) 729-7007

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14356/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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 1

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1174588420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746638",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746638",
            "telephone_number": "904-202-2092",
            "fax_number": "904-376-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 VINTAGE WAY",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320340299",
            "telephone_number": "904-261-0922",
            "fax_number": "904-390-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIND",
        "first_name": "AMIR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME73820",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "63978",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernandina Beach, FL

Sources for this page

Verify at the official NPI Registry.