Individual provider Active NPI

Stephen Joseph Miniat, M.D.

  • Family Medicine Physician
  • Pensacola, FL
National Provider Identifier
1881658649
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME72123 Issued in FL
Practice address
4929 Mobile Hwy
Pensacola, FL 32506-3229
Phone
(850) 453-3281
Fax
(850) 453-4491
NPI assigned
Apr 17, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD0000018211 TN
Family Medicine Physician 207Q00000X ME72123 FL Primary

Addresses

Primary practice location

4929 Mobile Hwy
Pensacola, FL 32506-3229

Mailing address

PO Box 2699
Pensacola, FL 32513-2699
Phone (850) 475-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050920000126 FL Practitioner - Family Practice 3577596642
I20121105000334 AL Practitioner - Family Practice 3577596642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Texas Southwestern Medical School at Dallas, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franklin Primary Health Center, Inc.Group PAC ID 1658356308, shared by 20 NPIs, 50 clinicians

Practice addresses (Care Compare)

1303 Dr Martin L King Jr Ave
Mobile, AL 36603-5341
Phone (251) 432-4117

1361 Dr Martin L King Jr Ave
Mobile, AL 36603-5341
Phone (251) 432-7189

1628 N McKenzie St
Foley, AL 36535-2275
Phone (251) 947-1083

201 Dolive St
Bay Minette, AL 36507-3226
Phone (251) 706-8700

53 Mulberry St
Frisco City, AL 36445-4484
Phone (251) 267-2880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0000018211TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep & Pulmonary Care Center, P.C. CurrentSince Mar 6, 2017 Accepting new patients
Franklin Primary Health Center, Inc Family Medicine CurrentSince Aug 26, 2021 Accepting new patients
Franklin Primary Health Center Inc. Family Medicine CurrentSince Aug 26, 2021 Accepting new patients
Sacred Heart Health System, Inc. Current Accepting new patients
Franklin Primary Health Center, Inc. Family Medicine Past Accepting new patients
United Florala, Inc Past Accepting new patients

Locations

1628 N McKenzie St
Ste 102
Foley, AL 36535
Phone (251) 424-1347

3751 Sullivan St
Madison, AL 35758
Phone (256) 772-4211

1303 Dr Martin L King Jr Ave
#A
Mobile, AL 36603

Interoperability endpoints

  • Direct secure messaging: sminiat374783@direct.ochin.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1881658649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2699",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325132699",
            "telephone_number": "850-475-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4929 MOBILE HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325063229",
            "telephone_number": "850-453-3281",
            "fax_number": "850-453-4491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINIAT",
        "first_name": "STEPHEN",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD0000018211",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME72123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.