Santa Rosa Hma Physician Management, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SANTA ROSA HMA PHYSICIAN MANAGEMENT, LLC

Practice address

4225 Woodbine Rd Ste a
Milton, FL 32571-8791

Phone

(850) 994-6575

Fax

(850) 994-2806

NPI assigned

Aug 20, 2006

Last updated

Aug 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kristina Music

Title

Director Provider Enrollment

Phone

(877) 892-9815

Specialties & licenses 6

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 99

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rebecca Ates, NP

  • Family Nurse Practitioner
  • Milton, FL
  • NPI 1467169854
  Medicare reassignment Care Compare group NPD
• Dennis Umali Atienza, DO

  • Obstetrics & Gynecology Physician
  • Milton, FL
  • NPI 1225038235
  Medicare reassignment Care Compare group NPD
• William Bickers, MD

  • Anesthesiology Physician
  • Milton, FL
  • NPI 1114311073
  Medicare reassignment Care Compare group NPD
• Edward Wesley Bisher

  • Interventional Cardiology Physician
  • Zephyrhills, FL
  • NPI 1215995386
  Medicare reassignment Care Compare group NPD
• Heather Dawn Brock

  • Family Nurse Practitioner
  • Eglin, FL
  • NPI 1003574500

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Tavaris Brooks Sr., DNP

  • Family Nurse Practitioner
  • Milton, FL
  • NPI 1609359868
  Medicare reassignment Care Compare group NPD
• Cori Cook, DNP, FNP-BC

  • Family Nurse Practitioner
  • Milton, FL
  • NPI 1013495936
  Medicare reassignment Care Compare group NPD
• Tiffany Cook, ARNP

  • Family Nurse Practitioner
  • Pace, FL
  • NPI 1487189023
  Medicare reassignment Care Compare group NPD
• Ellen Jennifer Esses, M.D.

  • Obstetrics & Gynecology Physician
  • Santa Rosa Beach, FL
  • NPI 1316975055
  Medicare reassignment Care Compare group NPD
• Emily J Fletcher, M.D.

  • Surgery Physician
  • Milton, FL
  • NPI 1558707752
  Medicare reassignment Care Compare group NPD
• Van Brandon Foles, MD

  • Surgery Physician
  • Milton, FL
  • NPI 1134550056
  Medicare reassignment Care Compare group NPD
• Donna Forbes, ARNP

  • Family Nurse Practitioner
  • Pace, FL
  • NPI 1659773406
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1447365366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 WOODBINE RD STE A",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325718791",
            "telephone_number": "850-994-6575",
            "fax_number": "850-994-2806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA ROSA HMA PHYSICIAN MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "MUSIC",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "DIRECTOR PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "877-892-9815",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374819701",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Santa Rosa Hma Physician Management LLC
• Santa Rosa Hma Physician Management LLC (Santa Rosa Medical Group)
• Santa Rosa Hma Physician Management LLC (Santa Rosa Medical Group)
• Santa Rosa Hma Physician Management LLC (SRMG Urology)
• Santa Rosa Hma Physician Management LLC
• Santa Rosa Hma Urgent Care LLC (Santa Rosa Urgent Care)
• Santa Rosa Hospitalists, LLC
• Santa Rosa Investors Inc (Santa Rosa Health & Rehabilitation Center)
• Santa Rosa Orthopedic Assoc P a
• Santa Rosa Pediatrics of Florida P.a.

• Family Medicine Physician in Milton, FL
• Providers in Milton, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.