NPIMap

Organization Active NPI

Baptist Medical Group LLC

  • Family Medicine Physician
  • Pensacola, FL
National Provider Identifier
1851064075
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BAPTIST MEDICAL GROUP LLC
Practice address
2115 W Nine Mile Rd Ste 2
Pensacola, FL 32534-9438
Phone
(850) 908-1950
NPI assigned
Jul 26, 2021
Organization subpart
Yes
Parent organization
BAPTIST HOSPITAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Authorized official

Name
Sharon Creech
Title
Manager / Delegated Official
Phone
(850) 475-3726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2115 W Nine Mile Rd Ste 2
Pensacola, FL 32534-9438

Mailing address

PO Box 17567
Pensacola, FL 32522-7567

Other identifiers 1

IdentifierTypeStateIssuer
001661700MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Baptist Medical Group LLC11 organizations share this tax ID, including this one
Part of
Gulf Breeze Hospital Ra

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627862400000",
    "number": "1851064075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17567",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325227567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 W NINE MILE RD STE 2",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325349438",
            "telephone_number": "850-908-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST MEDICAL GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAPTIST HOSPITAL INC",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A",
        "authorized_official_last_name": "CREECH",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "MANAGER / DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "850-475-3726"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001661700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.