Organization Active NPI

Spikes Medical, LLC

  • Primary Care Clinic/Center
  • Panama City, FL
National Provider Identifier
1831477272
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ARNP9242085 Issued in FL
Legal business name
SPIKES MEDICAL, LLC
Practice address
3238 W Highway 390
Panama City, FL 32405-2718
Phone
(850) 481-0846
NPI assigned
Aug 3, 2011
Last updated
Aug 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

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

Authorized official

Name
Mrs. Rachel Denise Spikes, ARNPNPI 1386916500
Title
Manager
Phone
(850) 814-3003

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
Primary Care Clinic/Center 261QP2300X ARNP9242085 FL Primary

Addresses

Primary practice location

3238 W Highway 390
Panama City, FL 32405-2718

Mailing address

3238 W Highway 390
Panama City, FL 32405-2718
Phone (850) 481-0846

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120206000511 FL Part B Supplier - Clinic/Group Practice 1456518299 Receives reassigned benefits from 1 practitioner
Practice locations: Southport, FL

National Provider Directory

National Provider Directory

Locations

2633 Highway 77
#A
Panama City, FL 32405
Phone (850) 481-0846

3238 W Highway 390
#B
Panama City, FL 32405
Phone (850) 481-0846

3238 W Highway 390
Panama City, FL 32405
Phone (850) 785-6677

7841 Liberty Ave
Southport, FL 32409
Phone (850) 481-0846

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": "1312329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1831477272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3238 W HIGHWAY 390",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324052718",
            "telephone_number": "850-481-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3238 W HIGHWAY 390",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324052718",
            "telephone_number": "850-481-0846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIKES MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-03",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "SPIKES",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "850-814-3003",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ARNP9242085",
            "primary": true
        }
    ],
    "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 18, 2011; 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.