Organization Active NPI

Diana R Twiggs MD

Doing business as Amelia Island Family Medicine PLC

  • Family Medicine Physician
  • Fernandina Beach, FL
National Provider Identifier
1508054388
Registry record updated Feb 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME78633 Issued in FL
Legal business name
DIANA R TWIGGS MD
Doing business as
Amelia Island Family Medicine PLC
Practice address
1888 S 14TH St
Fernandina Beach, FL 32034-3054
Phone
(904) 261-0922
NPI assigned
Oct 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2009

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

Authorized official

Name
Diana R Twiggs, M.D.
Title
President
Phone
(904) 261-0922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME78633 FL Primary

Addresses

Primary practice location

1888 S 14TH St
Fernandina Beach, FL 32034-3054

Mailing address

1888 S 14TH St
Fernandina Beach, FL 32034-3054
Phone (904) 261-0922

Other names 1

  • Amelia Island Family Medicine PLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235520000000",
    "number": "1508054388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1888 S 14TH ST",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320343054",
            "telephone_number": "904-261-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1888 S 14TH ST",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320343054",
            "telephone_number": "904-261-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANA R TWIGGS MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2009-02-25",
        "status": "A",
        "authorized_official_last_name": "TWIGGS",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-261-0922",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME78633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amelia Island Family Medicine PLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fernandina Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.