James Sutlive Atkins Jr., MD
Individual provider Active NPI Otolaryngology Physician · Celebration, FL
NPI 1255355442 · NPPES record last updated May 11, 2012
Key facts
- NPI
- 1255355442
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Otolaryngology Physician 207Y00000X
- License
- ME0038666 (FL)
- Practice address
- 410 Celebration Place
Suite 100
Celebration, FL 34747-5432 - Phone
- (321) 939-3000
- Fax
- (321) 939-3001
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Otolaryngology
- Education
- University of Florida College of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Florida Hospital Medical Group Inc
Practice addresses (Care Compare)
2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700
410 Celebration PL
Celebration, FL 34747-5436
Hospital & facility affiliations
- Adventhealth Orlando
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050707000075 | FL | Practitioner - Otolaryngology | 2365488822 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME38666 | FL | MD | Specialist |
| ME0038666 | FL | MD | Otolaryngology Physician |
Practice roles (3 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Florida Balance LLC | Current |
Accepting new patients | |
| Florida Hospital Medical Group Inc | Current |
Accepting new patients | |
| Florida Hospital Medical Group Inc | Current |
Accepting new patients |
Locations
400 Celebration Pl
Kissimmee, FL 34747
Phone (407) 303-4000
410 Celebration Pl
Ste 100
Kissimmee, FL 34747
Phone (321) 939-3000
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- jatkins73818@adventhealth.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME38666 | FL | |
| Otolaryngology Physician | 207Y00000X | ME0038666 | FL | Yes |
Addresses
Primary practice location
410 Celebration Place
Suite 100
Celebration, FL 34747-5432
Mailing address
410 Celebration Place
Suite 100
Celebration, FL 34747-5432
Phone (321) 939-3000
Other providers in Celebration, FL
- Bobby John Ardila
- Paula Andrea Ardila
- Mary Ellen Ashton
- Assessability, LLC
- At Home With US LLC
- Aurora Therapy Services PLLC
- Mohammed Masfikul Azam
- Trevor Rossi Baddaloo
- Maria Imelda Matondo Baguia
- Shanice Baker
All providers in Celebration, FL · Otolaryngology Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.