James L Autin, M.D.

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

License

ME43580 Issued in FL

Practice address

1302 N Lawnwood Cir
Fort Pierce, FL 34950-4806

Phone

(772) 337-3700

Fax

(619) 415-8099

NPI assigned

May 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Cfsatc, Inc.

  • Community/Behavioral Health Agency
  • Cocoa, FL
  • NPI 1316142334
  NPD (past)
• Cfsatc, Inc.

  • Community/Behavioral Health Agency
  • Palm Bay, FL
  • NPI 1356548721
  NPD (past)
• Cfsatc, Inc.

  • Community/Behavioral Health Agency
  • Fort Lauderdale, FL
  • NPI 1811450620
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1285682005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7548 S US HIGHWAY 1",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349521450",
            "telephone_number": "772-466-1091",
            "fax_number": "619-415-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 N LAWNWOOD CIR",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504806",
            "telephone_number": "772-337-3700",
            "fax_number": "619-415-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUTIN",
        "first_name": "JAMES",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2024-03-18",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME43580",
            "primary": false
        },
        {
            "code": "207YS0012X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Sleep Medicine",
            "state": "FL",
            "license": "ME43580",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "FL",
            "license": "ME43580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047112700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Atlantic ABA, LLC
• Atlantic Home Health Care, Inc.
• Atlantic View Medical Supplies Inc
• Kirsten Thomas Atwood, AU.D, ,CCC-A
• Aurora of the Treasure Coast
• Patricia Liceth Auzenne, LCSW MCAP QS
• Av Medical Center Inc.
• Tammy Holcomb Avery
• Sonya Carolina Aviles
• Award Care at St Lucie LLC

• Addiction Medicine (Internal Medicine) Physician in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Addiction Medicine (Internal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.