NPIMap

Organization Active NPI

Acsh Primary Care of Florida, LLC

  • Multi-Specialty Clinic/Center
  • Panama City, FL
National Provider Identifier
1508286543
Registry record updated Aug 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ACSH PRIMARY CARE OF FLORIDA, LLC
Practice address
2306 Highway 77
Panama City, FL 32405-4404
Phone
(850) 763-9744
Fax
(850) 785-2020
NPI assigned
Apr 17, 2014
Last updated
Aug 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2015

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

Authorized official

Name
Mr. Norman Winland
Title
Coo
Phone
(404) 465-1000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary
Primary Care Clinic/Center 261QP2300X NU

Addresses

Primary practice location

2306 Highway 77
Panama City, FL 32405-4404

Mailing address

PO Box 101024
Atlanta, GA 30392-1024

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439769600000",
    "number": "1508286543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 101024",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303921024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2306 HIGHWAY 77",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054404",
            "telephone_number": "850-763-9744",
            "fax_number": "850-785-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACSH PRIMARY CARE OF FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-17",
        "last_updated": "2015-08-17",
        "status": "A",
        "authorized_official_last_name": "WINLAND",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "404-465-1000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; 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.