NPIMap

Organization Active NPI

Absolute OBGYN LLC

  • Obstetrics & Gynecology Physician
  • Gulf Breeze, FL
National Provider Identifier
1801301122
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
ABSOLUTE OBGYN LLC
Practice address
1118 Gulf Breeze Pkwy Ste 201
Gulf Breeze, FL 32561-7803
Phone
(850) 916-1872
NPI assigned
Dec 8, 2017
Last updated
Jun 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Authorized official

Name
Karen Kennedy, MDNPI 1457380867
Title
Owner
Phone
(850) 916-1872

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

1118 Gulf Breeze Pkwy Ste 201
Gulf Breeze, FL 32561-7803

Mailing address

1118 Gulf Breeze Pkwy Ste 201
Gulf Breeze, FL 32561-7803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180309000746 FL Part B Supplier - Clinic/Group Practice 0941561864 Receives reassigned benefits from 10 practitioners
Practice locations: Navarre, FL; Gulf Breeze, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 30

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.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1801301122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 GULF BREEZE PKWY STE 201",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325617803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 GULF BREEZE PKWY STE 201",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325617803",
            "telephone_number": "850-916-1872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE OBGYN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-08",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-916-1872",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Breeze, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.