NPIMap

Individual provider Active NPI

Ann Kathryn Gwinnup, M.D.

  • Family Medicine Physician
  • Crestview, FL
National Provider Identifier
1447244223
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME96507 Issued in FL
Practice address
127 E Redstone Ave Ste C
Crestview, FL 32539-5356
Phone
(850) 423-0061
Fax
(850) 423-9954
NPI assigned
Sep 7, 2005
Last updated
Sep 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME96507 FL Primary

Addresses

Primary practice location

127 E Redstone Ave Ste C
Crestview, FL 32539-5356

Mailing address

127 E Redstone Ave Ste C
Crestview, FL 32539-5356
Phone (850) 423-0061

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ann.gwinnup.1@1523.direct.athenahealth.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070320000225 FL Practitioner - Family Practice 4688624125 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acumen Health PLLCGroup PAC ID 8527426345, 2 clinicians

Practice addresses (Care Compare)

4566 E Hwy 20
Suite 105
Niceville, FL 32578-8839
Phone (850) 483-3313

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Acumen Health PLLC CurrentSince May 15, 2023 Accepting new patients
Crestview Hospital Company, LLC CurrentSince Mar 1, 2018 Accepting new patients
Crestview Hospital Company LLC Family Medicine CurrentSince Mar 1, 2018 Accepting new patients
Center for Psychiatric Care PastSince Aug 28, 2000 Accepting new patients
Santa Rosa Hma Physician Management LLC Family Medicine PastSince Jul 4, 2021 Accepting new patients
Generations Primary Care PSC Past Accepting new patients

Locations

127 E Redstone Ave
Ste C
Crestview, FL 32539
Phone (850) 423-0061

4566 E Highway 20
Ste 105
Niceville, FL 32578
Phone (850) 279-4543

Interoperability endpoints

  • Direct secure messaging: ann.gwinnup.1@1523.direct.athenahealth.com
  • Direct secure messaging: ann.gwinnup.1@28552.direct.athenahealth.com
  • Direct secure messaging: gwinnupa@yourcarecommunity.org
  • FHIR API: https://api.platform.athenahealth.com/22167/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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 6

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": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1447244223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 E REDSTONE AVE STE C",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325395356",
            "telephone_number": "850-423-0061",
            "fax_number": "850-423-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 E REDSTONE AVE STE C",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325395356",
            "telephone_number": "850-423-0061",
            "fax_number": "850-423-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWINNUP",
        "first_name": "ANN",
        "middle_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-07",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME96507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ann.gwinnup.1@1523.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "127 E Redstone Ave Ste C",
            "city": "Crestview",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325395356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Crestview, FL

Sources for this page

Verify at the official NPI Registry.