NPIMap

Organization Active NPI

High Springs Pediatrics and Primary Care

Doing business as Alachua Pediatrics and Primary Care

  • Rural Health Clinic/Center
  • High Springs, FL
National Provider Identifier
1710438015
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
ME97945 Issued in FL
Legal business name
HIGH SPRINGS PEDIATRICS AND PRIMARY CARE
Doing business as
Alachua Pediatrics and Primary Care
Practice address
19228 NW US Highway 441
High Springs, FL 32643-8783
Phone
(386) 454-1156
Fax
(386) 454-1158
NPI assigned
Oct 21, 2016
Last updated
Oct 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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

Authorized official

Name
Nasir Ahmed, M.DNPI 1326180480
Title
Physican
Phone
(386) 454-1156

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)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X ME97945 FL Primary

Addresses

Primary practice location

19228 NW US Highway 441
High Springs, FL 32643-8783

Mailing address

19228 NW US Highway 441
High Springs, FL 32643-8783
Phone (386) 454-1156

Other identifiers 2

IdentifierTypeStateIssuer
003432700MedicaidFL
007470000MedicaidFL

Other names 1

  • ALACHUA PEDIATRICS AND PRIMARY CARE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
High Springs Pediatrics LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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, 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": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1710438015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19228 NW US HIGHWAY 441",
            "city": "HIGH SPRINGS",
            "state": "FL",
            "postal_code": "326438783",
            "telephone_number": "386-454-1156",
            "fax_number": "386-454-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19228 NW US HIGHWAY 441",
            "city": "HIGH SPRINGS",
            "state": "FL",
            "postal_code": "326438783",
            "telephone_number": "386-454-1156",
            "fax_number": "386-454-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH SPRINGS PEDIATRICS AND PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "NASIR",
        "authorized_official_title_or_position": "PHYSICAN",
        "authorized_official_telephone_number": "386-454-1156",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "FL",
            "license": "ME97945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003432700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007470000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALACHUA PEDIATRICS AND PRIMARY CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in High Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.