Community Health of Melbourne Beach LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME54282 Issued in FL

Legal business name

COMMUNITY HEALTH OF MELBOURNE BEACH LLC

Doing business as

Surfside Pediatrics

Practice address

325 5TH Ave
Suite 203
Indialantic, FL 32903-4273

Phone

(321) 821-4882

Fax

(321) 821-4890

NPI assigned

Sep 11, 2013

Last updated

Sep 11, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

COMMUNITY HEALTH OF TALLAHASSEEAs reported in NPPES

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

Authorized official

Name

Dr. Carolyn Paige Feltus-Atkinson, MDNPI 1891769568

Title

Pediatrician

Phone

(321) 821-4882

Specialties & licenses 1

Addresses

Other names 1

• Surfside Pediatrics Doing business as

Part of

Community Health of Tallahassee LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Community Health of Tallahassee LLC

  dba Surfside Urgent Care

  • Urgent Care Clinic/Center
  • Indialantic, FL
  • NPI 1952687923
  NPPES parent name

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.

• Carolyn Feltus-Atkinson, MD

  • Pediatrics Physician
  • Indialantic, FL
  • NPI 1891769568
  NPD (past) Authorized official

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378857600000",
    "number": "1245665199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 5TH AVE",
            "address_2": "SUITE 203",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329034273",
            "telephone_number": "321-821-4882",
            "fax_number": "321-821-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 5TH AVE",
            "address_2": "SUITE 203",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329034273",
            "telephone_number": "321-821-4882",
            "fax_number": "321-821-4890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH OF MELBOURNE BEACH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY HEALTH OF TALLAHASSEE",
        "enumeration_date": "2013-09-11",
        "last_updated": "2013-09-11",
        "status": "A",
        "authorized_official_last_name": "FELTUS-ATKINSON",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "PAIGE",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "321-821-4882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME54282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surfside Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Marilyn Cobb, LMT
• Noelle Ann Cohen, RD
• Ryan Collins, DMD
• Community Health of Tallahassee LLC (Surfside Urgent Care)
• Corinne Zimmer, PSYD LLC
• Lydia O. Crane, MD
• Creative Spark Art Therapy LLC
• Caroline Cubero

• Specialist in Indialantic, FL
• Providers in Indialantic, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; 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.