Organization Active NPI

Bay Family Medicine PA

  • Family Medicine Physician
  • Panama City, FL
National Provider Identifier
1396766911
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME92110 Issued in FL
Legal business name
BAY FAMILY MEDICINE PA
Practice address
2420 Jenks Ave
Suite 5
Panama City, FL 32405-4909
Phone
(850) 763-3635
Fax
(850) 763-4448
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Stephen H Armistead, M.D.NPI 1619932944
Title
President
Phone
(850) 763-3635

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME92110 FL Primary

Addresses

Primary practice location

2420 Jenks Ave
Suite 5
Panama City, FL 32405-4909

Mailing address

PO Box 97
Lynn Haven, FL 32444-0097
Phone (850) 763-3635

Other identifiers 1

IdentifierTypeStateIssuer
64058OtherFLBCBS FLORIDA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396766911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324440097",
            "telephone_number": "850-763-3635",
            "fax_number": "850-763-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 JENKS AVE",
            "address_2": "SUITE 5",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054909",
            "telephone_number": "850-763-3635",
            "fax_number": "850-763-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY FAMILY MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARMISTEAD",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-763-3635",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME92110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FLORIDA",
            "identifier": "64058",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.