Magical Moments Pediatrics, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MAGICAL MOMENTS PEDIATRICS, LLC

Practice address

267 E Cherry St
Groveland, FL 34736-2516

Phone

(850) 716-6675

NPI assigned

Feb 20, 2026

Organization subpart

No

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

Authorized official

Name

Shana Haywood, NPNPI 1306428768

Title

Owner/PNP

Phone

(850) 716-6675

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shana Denise Haywood

  • Pediatric Nurse Practitioner
  • Groveland, FL
  • NPI 1306428768
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1771545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771545600000",
    "number": "1881547503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 E CHERRY ST",
            "city": "GROVELAND",
            "state": "FL",
            "postal_code": "347362516",
            "telephone_number": "850-716-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 E CHERRY ST",
            "city": "GROVELAND",
            "state": "FL",
            "postal_code": "347362516",
            "telephone_number": "850-716-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGICAL MOMENTS PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-20",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A",
        "authorized_official_last_name": "HAYWOOD",
        "authorized_official_first_name": "SHANA",
        "authorized_official_title_or_position": "OWNER/PNP",
        "authorized_official_telephone_number": "850-716-6675",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lubomyr Lazor Mutis, SA-C, IMG.
• Gary Michael Lease, DMD
• Christina Lira Garcia, RDN
• Shaina Little, ARNP
• Rosannah Long
• Darren E Marsh, PHARMD
• Master Care-Givers
• Marsha McCleary
• Anthony Bernard McCoy Jr., RBT
• Timothy J. McKindles, CRNA

• Primary Care Clinic/Center in Groveland, FL
• Providers in Groveland, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.