Active NPI
Panhandle Family Care Associates Inc
- Family Medicine Physician
- Marianna, FL
National Provider Identifier
1598930679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PANHANDLE FAMILY CARE ASSOCIATES INC
- Practice address
- 4284 Kelson Ave
Marianna, FL 32446-2948 - Phone
- (850) 482-2910
- Fax
- (850) 482-2836
- NPI assigned
- Apr 29, 2008
- Last updated
- Aug 20, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John A Spence
- Title
- MD
- Phone
- (850) 482-2910
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
4284 Kelson Ave
Marianna, FL 32446-2948
Mailing address
4284 Kelson Ave
Marianna, FL 32446-2948
Phone (850) 482-2910
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DA3069 | Other | MEDICARE RAILROAD | |
| 34321 | Other | FL | BLUECROSS BLUESHIELD FLORIDA |
| 276272200 | Medicaid | FL | |
| AT785 | Other | FL | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Marianna, FL
- NPI 1497794796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1440028800000",
"number": "1598930679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4284 KELSON AVE",
"city": "MARIANNA",
"state": "FL",
"postal_code": "324462948",
"telephone_number": "850-482-2910",
"fax_number": "850-482-2836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4284 KELSON AVE",
"city": "MARIANNA",
"state": "FL",
"postal_code": "324462948",
"telephone_number": "850-482-2910",
"fax_number": "850-482-2836"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PANHANDLE FAMILY CARE ASSOCIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-29",
"last_updated": "2015-08-20",
"status": "A",
"authorized_official_last_name": "SPENCE",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "850-482-2910"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "DA3069",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD FLORIDA",
"identifier": "34321",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "276272200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "AT785",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marianna, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.