NPIMap

Individual provider Active NPI

Paul Nicholas Motta, M.D.

  • Family Medicine Physician
  • Crestview, FL
National Provider Identifier
1467609198
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME111380 Issued in FL
Practice address
127 E Redstone Ave
Suite C
Crestview, FL 32539-5358
Phone
(850) 423-0061
Fax
(850) 423-9954
NPI assigned
Aug 25, 2008
Last updated
May 16, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2012

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 ME111380 FL Primary

Addresses

Primary practice location

127 E Redstone Ave
Suite C
Crestview, FL 32539-5358

Mailing address

127 E Redstone Ave
Suite C
Crestview, FL 32539-5358
Phone (850) 423-0061

Other identifiers 1

IdentifierTypeStateIssuer
004266900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111216000602 FL Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Emergency Medicine 2860667052 Reassigns benefits to 5 organizations
I20151229000628 AL Practitioner - Emergency MedicinePractitioner - Family Practice 2860667052 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newgen Alabama Billing LLCGroup PAC ID 9133657208, 99 clinicians
Southland Hospitalist at Weems PLGroup PAC ID 2860667508, 6 clinicians
Southland Medical Solutions of Eufaula, PLGroup PAC ID 1951469410, 8 clinicians

Practice addresses (Care Compare)

1200 W Maple Ave
Geneva, AL 36340-1642
Phone (334) 684-3655

126 Hospital Ave
Ozark, AL 36360-2018
Phone (334) 774-2601

135 Ave G
Apalachicola, FL 32320-1613
Phone (850) 653-8853

1360 Brickyard Rd
Chipley, FL 32428-6303
Phone (850) 638-1610

820 W Washington St
Eufaula, AL 36027-1822
Phone (344) 688-7000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Newgen Alabama Billing LLC CurrentSince Dec 17, 2025 Accepting new patients
Southland EMS at Weems PL CurrentSince Mar 22, 2014 Accepting new patients
The Health Care Authority of the City of Eufaula CurrentSince Sep 22, 2025 Accepting new patients
Southland Medical Solutions of Ozark, PL CurrentSince Feb 13, 2017 Accepting new patients
Southland Medical Solutions of Eufaula, PL CurrentSince Jul 9, 2023 Accepting new patients
Northwest Florida Healthcare, Inc CurrentSince Jul 11, 2014 Accepting new patients
Northwest Florida Healthcare, Inc CurrentSince Jul 11, 2014 Accepting new patients
The Health Care Authority of the City of Eufaula Current Accepting new patients
Franklin County Board of County Commissioners Family Medicine CurrentSince Oct 1, 2025 Accepting new patients
Southland Hospitalist at Weems PL CurrentSince Mar 22, 2014 Accepting new patients
The Health Care Authority of the City of Eufaula CurrentSince Sep 22, 2025 Accepting new patients

Locations

820 W Washington St
Eufaula, AL 36027
Phone (334) 687-5761

126 Hospital Ave
Ozark, AL 36360
Phone (334) 445-4803

135 Avenue G
Apalachicola, FL 32320
Phone (850) 653-8853

1360 Brickyard Rd
Chipley, FL 32428
Phone (850) 415-8300

Interoperability endpoints

  • Direct secure messaging: paul.motta.1@11619.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 7

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": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337126400000",
    "number": "1467609198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 E REDSTONE AVE",
            "address_2": "SUITE C",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325395358",
            "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",
            "address_2": "SUITE C",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325395358",
            "telephone_number": "850-423-0061",
            "fax_number": "850-423-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTTA",
        "first_name": "PAUL",
        "middle_name": "NICHOLAS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-25",
        "last_updated": "2012-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME111380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004266900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview, FL

Sources for this page

Verify at the official NPI Registry.