Individual provider Active NPI

Linda Haddox, MD

  • Obstetrics Physician
  • Daytona Beach, FL
National Provider Identifier
1518919984
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
J5584 Issued in TX
Practice address
500 Health Blvd
Daytona Beach, FL 32114-1492
Phone
(386) 252-5858
Fax
(386) 252-4477
NPI assigned
May 16, 2006
Last updated
Jun 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME0070643 FL
Obstetrics Physician 207VX0000X J5584 TX Primary

Addresses

Primary practice location

500 Health Blvd
Daytona Beach, FL 32114-1492

Mailing address

500 Health Blvd
Daytona Beach, FL 32114-1492
Phone (386) 252-5858

Other identifiers 4

IdentifierTypeStateIssuer
2611445OtherFLAETNA
250235600MedicaidFL
31375OtherFLBCBS
5430159001OtherFLCIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070709000486 FL Practitioner - Obstetrics/Gynecology 6608865969 Reassigns benefits to 2 organizations
I20180706001013 TX Practitioner - Obstetrics/GynecologyPractitioner - Hospitalist 6608865969 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Hospitalist
Education
Texas a & M University System, HSC, College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg Texas Holdings PAGroup PAC ID 3577713072, 176 clinicians

Practice addresses (Care Compare)

12221 N Mopac Expy
Austin, TX 78758-2401
Phone (800) 967-2289

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0070643FLMDObstetrics & Gynecology Physician
J5584TXMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Jul 1, 2018 Accepting new patients
Halifax Healthcare Systems Inc Obstetrics & Gynecology CurrentSince Jun 22, 2015 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Jan 1, 2015 Accepting new patients
Lone Star Circle of Care CurrentSince May 1, 2021 Accepting new patients
Lone Star Circle of Care CurrentSince May 1, 2021 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Jan 1, 2015 Accepting new patients
Lone Star Circle of Care Obstetrics & Gynecology Current Accepting new patients
Florida Department of Health Past Accepting new patients
St Davids Healthcare Partnership LP LLP Past Accepting new patients

Locations

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

303 N Clyde Morris Blvd
Fl First
Daytona Beach, FL 32114
Phone (386) 425-6198

311 N Clyde Morris Blvd
Ste 180
Daytona Beach, FL 32114
Phone (386) 252-4701

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

1221 W Ben White Blvd
Ste 200B
Austin, TX 78704
Phone (512) 524-9249

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (361) 985-5000

2423 Williams Dr
Georgetown, TX 78628
Phone (512) 686-0207

Interoperability endpoints

  • Direct secure messaging: linda.haddox.p1@direct.lscctx.nextgenshare.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1518919984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 HEALTH BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141492",
            "telephone_number": "386-252-5858",
            "fax_number": "386-252-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HEALTH BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141492",
            "telephone_number": "386-252-5858",
            "fax_number": "386-252-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDOX",
        "first_name": "LINDA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME0070643",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "TX",
            "license": "J5584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2611445",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250235600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "31375",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5430159001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.