Gulf Coast Family Medicine PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GULF COAST FAMILY MEDICINE PLLC

Practice address

1020 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-4838

Phone

(850) 437-8625

Fax

(850) 916-4715

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Elwin Coy Irvin, M.D.

Title

Owner/Physician

Phone

(850) 437-8625

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elvin Coy Irvin Jr., MD

  • Family Medicine Physician
  • Thomasville, GA
  • NPI 1902888357
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1194808188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 GULF BREEZE PKWY",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614838",
            "telephone_number": "850-437-8625",
            "fax_number": "850-916-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 GULF BREEZE PKWY",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614838",
            "telephone_number": "850-437-8625",
            "fax_number": "850-916-4715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "IRVIN",
        "authorized_official_first_name": "ELWIN",
        "authorized_official_middle_name": "COY",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "850-437-8625",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DE1389",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gulf Breeze Chiropractic PA D/B/a Hall Chiropractic & Sports Medicine
• Gulf Breeze Family Dentistry
• Gulf Breeze Speech and Language
• Gulf Breeze Therapy, LLC
• Gulf Breeze Treatment Center (Gulf Breeze Recovery)
• Gulf Coast Health System Imaging, LLC (Optimal Imaging Sacred Heart Health System)
• Gulf Coast Mobile Wound Care
• Gulf Coast Orthopedic Specialists
• Gulfside Counseling and Wellness
• Stephen A Gulsby, RPT

• Family Medicine Physician in Gulf Breeze, FL
• Providers in Gulf Breeze, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.