Individual provider Active NPI

Matthew Sorsby, PA-C

  • Medical Physician Assistant
  • Milton, FL
National Provider Identifier
1346609450
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9109379 Issued in FL
Practice address
5907 Berryhill Rd
Milton, FL 32570-8278
Phone
(850) 623-9787
NPI assigned
Feb 17, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9109379 FL Primary

Addresses

Primary practice location

5907 Berryhill Rd
Milton, FL 32570-8278

Mailing address

5907 Berryhill Rd
Milton, FL 32570-8278
Phone (850) 623-9787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160404001434 FL Practitioner - Physician Assistant 2668779760 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Health System, Inc. CurrentSince Sep 11, 2017 Accepting new patients
Sacred Heart Health System Inc CurrentSince Sep 11, 2017 Accepting new patients
Tri Hospital MRI Center Past Accepting new patients

Locations

26 Racetrack Rd NW
Ft Walton Bch, FL 32547
Phone (850) 416-2340

5992 Berryhill Rd
Milton, FL 32570
Phone (850) 416-4620

6665 Pensacola Blvd
Pensacola, FL 32505
Phone (850) 416-2000

4501 N Davis Hwy
Ste A
Pensacola, FL 32503
Phone (850) 476-9000

Interoperability endpoints

  • Direct secure messaging: matthew.sorsby.1@9582.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1346609450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5907 BERRYHILL RD",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325708278",
            "telephone_number": "850-623-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5907 BERRYHILL RD",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325708278",
            "telephone_number": "850-623-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORSBY",
        "first_name": "MATTHEW",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9109379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, FL

Sources for this page

Verify at the official NPI Registry.