Active NPI
Internal Medicine Associates
- Internal Medicine Physician
- Marianna, FL
National Provider Identifier
1417974999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- INTERNAL MEDICINE ASSOCIATES
- Practice address
- 4318 5TH Ave
Marianna, FL 32446-2182 - Phone
- (850) 526-5300
- NPI assigned
- Jul 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Yvonne Hart
- Title
- Insurance Specialist
- Phone
- (850) 526-5300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | FL | Primary |
Addresses
Primary practice location
4318 5TH Ave
Marianna, FL 32446-2182
Mailing address
4250 Hospital Dr
Marianna, FL 32446-1917
Phone (850) 526-5300
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 660033600 | Medicaid | FL | |
| 660033601 | Medicaid | FL | |
| W42 | Other | FL | RURAL HEALTH CLINIC BCBS |
| 34202 | Other | FL | BCBS GROUP NUMBER |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Marianna, FL
- NPI 1679608269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1387238400000",
"number": "1417974999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4250 HOSPITAL DR",
"city": "MARIANNA",
"state": "FL",
"postal_code": "324461917",
"telephone_number": "850-526-5300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4318 5TH AVE",
"city": "MARIANNA",
"state": "FL",
"postal_code": "324462182",
"telephone_number": "850-526-5300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERNAL MEDICINE ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-17",
"last_updated": "2013-12-17",
"status": "A",
"authorized_official_last_name": "HART",
"authorized_official_first_name": "YVONNE",
"authorized_official_title_or_position": "INSURANCE SPECIALIST",
"authorized_official_telephone_number": "850-526-5300",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "660033600",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "660033601",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RURAL HEALTH CLINIC BCBS",
"identifier": "W42",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP NUMBER",
"identifier": "34202",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marianna, FL
- David Bing Hurst, MD
- Judith Ann Hussey, ARNP, BC
- Laura Ingram, LMT
- Interim Healthcare of NW FL Inc
- Internal Medicine Associates
- Internal Medicine Associates of Jackson Hospital
- Jackson Anesthesia Associates Inc
- Jackson County Association for Retarded Citizens, Inc.
- Jackson County Hospital District
- Jackson County Hospital District
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.