NPIMap

Organization Active NPI

First Physicians Group PA

  • Family Medicine Physician
  • Pace, FL
National Provider Identifier
1881674257
Registry record updated Oct 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FIRST PHYSICIANS GROUP PA
Practice address
3802 Highway 90
Pace, FL 32571-1014
Phone
(850) 994-5660
Fax
(850) 994-5841
NPI assigned
Jan 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2009

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

Authorized official

Name
Kylie Baisden
Title
Credentialing
Phone
(850) 994-5660

Specialties & licenses 1

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

Addresses

Primary practice location

3802 Highway 90
Pace, FL 32571-1014

Mailing address

PO Box 18868
Pensacola, FL 32523-8868
Phone (850) 994-5660

Other identifiers 15

IdentifierTypeStateIssuer
261372508MedicaidFL
261372505MedicaidFL
261372506MedicaidFL
263172510MedicaidFL
608177300OtherFLUS DEPARTMENT OF LABOR
CA7660OtherFLRAILROAD MEDICARE
0582OtherFLHEALTHY KIDS
263172501MedicaidFL
38502OtherFLBLUE CROSS BLUE SHIELD FL
261372500MedicaidFL
261372502MedicaidFL
261372509MedicaidFL
263172503MedicaidFL
0582OtherFLHEALTH OPTIONS
261372507MedicaidFL

National Provider Directory

National Provider Directory

Locations

4223 Orange Beach Blvd
Orange Beach, AL 36561
Phone (251) 981-1999

8105 Scenic Hwy
Pensacola, FL 32514
Phone (850) 484-9435

1013 W Moreno St
Pensacola, FL 32501
Phone (850) 432-2333

Practitioners & affiliated clinicians

Practitioners 12

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

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255305600000",
    "number": "1881674257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18868",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325238868",
            "telephone_number": "850-994-5660",
            "fax_number": "859-994-5841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 HIGHWAY 90",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325711014",
            "telephone_number": "850-994-5660",
            "fax_number": "850-994-5841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST PHYSICIANS GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-20",
        "last_updated": "2009-10-12",
        "status": "A",
        "authorized_official_last_name": "BAISDEN",
        "authorized_official_first_name": "KYLIE",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "850-994-5660"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261372508",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261372505",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261372506",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263172510",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPARTMENT OF LABOR",
            "identifier": "608177300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CA7660",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHY KIDS",
            "identifier": "0582",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263172501",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FL",
            "identifier": "38502",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261372500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261372502",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261372509",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263172503",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH OPTIONS",
            "identifier": "0582",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261372507",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pace, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2009; 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.