Individual provider Active NPI

Mitchell Eugene Whitehead, M.D.

  • Family Medicine Physician
  • Pensacola, FL
National Provider Identifier
1427460526
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME125587 Issued in FL
Practice address
5100 N 12TH Ave Ste 201
Pensacola, FL 32504
Phone
(850) 437-8485
NPI assigned
May 22, 2014
Last updated
Dec 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X TRN19942 FL
Family Medicine Physician 207Q00000X ME125587 FL Primary

Addresses

Primary practice location

5100 N 12TH Ave Ste 201
Pensacola, FL 32504

Mailing address

5100 N 12TH Ave Ste 201
Pensacola, FL 32504-8919
Phone (850) 437-8485

Other practice location 1

1301 Hodges Dr
Tallahassee, FL 32308-4614
Phone (850) 431-5714

Other practice location 2

4300 Bayou Blvd Ste 17D
Pensacola, FL 32503-2671
Phone (850) 476-3131

Other identifiers 1

IdentifierTypeStateIssuer
021092300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170801003743 FL Practitioner - Family Practice 9537384060 Reassigns benefits to 3 organizations
I20220811001855 MS Practitioner - Family Practice 9537384060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Florida State University College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
AIDS Healthcare FoundationGroup PAC ID 2668369109, shared by 56 NPIs, 101 clinicians

Practice addresses (Care Compare)

4300 Bayou Blvd
Suite 17D
Pensacola, FL 32503-2671
Phone (850) 470-8071

766 Lakeland Dr a
Jackson, MS 39216-4610
Phone (601) 368-3440

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.5 of 100Reported as group
Quality
64.78
Improvement activities
40
Cost
79.23

Merit-based Incentive Payment System (MIPS)

Final score
81.01 of 100Reported as group
Quality
62.34
Promoting interoperability
95
Improvement activities
40
Cost
78.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME125587FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Astro Health and Rehab Center LLC CurrentSince Feb 18, 2025 Accepting new patients
Baptist Physician Associates LLC Family Medicine CurrentSince Oct 28, 2017 Accepting new patients
AIDS Healthcare Foundation CurrentSince Apr 28, 2022 Accepting new patients
AIDS Healthcare Foundation Current Accepting new patients
AIDS Healthcare Foundation CurrentSince May 7, 2018 Accepting new patients
AIDS Healthcare Foundation CurrentSince May 7, 2018 Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients

Locations

8390 Champions Gate Blvd
Ste 220
Champions Gate, FL 33896
Phone (407) 479-2015

6333 N Federal Hwy
Ste 301302
Ft Lauderdale, FL 33308
Phone (954) 772-2411

261 Westward Dr
Ste 108
Miami Springs, FL 33166
Phone (305) 200-5176

261 Westward Dr
Ste 108109
Miami Springs, FL 33166
Phone (305) 200-5176

1000 W Moreno St
Pensacola, FL 32501
Phone (850) 434-4011

4300 Bayou Blvd
Ste 17D
Pensacola, FL 32503
Phone (850) 472-0962

9400 University Pkwy
Ste 101B
Pensacola, FL 32514
Phone (850) 208-6130

9400 University Pkwy
Ste 409
Pensacola, FL 32514
Phone (850) 994-7256

3135 State Road 580
Ste 1
Safety Harbor, FL 34695
Phone (727) 259-2000

766 Lakeland Dr
#A
Jackson, MS 39216
Phone (601) 368-3440

Interoperability endpoints

  • Direct secure messaging: mitchell.whitehead.1@26356.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1427460526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 N 12TH AVE STE 201",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048919",
            "telephone_number": "850-437-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 N 12TH AVE STE 201",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32504",
            "telephone_number": "850-437-8485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Hodges Dr",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323084614",
            "country_code": "US",
            "telephone_number": "850-431-5714",
            "fax_number": "850-431-6403",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4300 Bayou Blvd Ste 17D",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325032671",
            "country_code": "US",
            "telephone_number": "850-476-3131",
            "fax_number": "850-476-4848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "MITCHELL",
        "middle_name": "EUGENE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-22",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "TRN19942",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME125587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021092300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.