Intervalcare Medical Services

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

INTERVALCARE MEDICAL SERVICES

Practice address

3601 Pebble LN
Milton, FL 32583-2301

Phone

(850) 356-0831

NPI assigned

Oct 27, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Anyta Hicks-Williams, AGNP, PMHNPNPI 1104367465

Title

Ceo/Owner

Phone

(850) 356-0831

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, GA2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• Anyta Hicks-Williams, AGNP-C, PMHNP-BC

  • Psychiatry Physician
  • Atlanta, GA
  • NPI 1104367465

  FL

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1962002287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1132",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325911132",
            "telephone_number": "850-356-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 PEBBLE LN",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325832301",
            "telephone_number": "850-356-0831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1720 Peachtree St NW Ste 510",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303092462",
            "country_code": "US",
            "telephone_number": "850-313-4616",
            "fax_number": "619-329-8933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTERVALCARE MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-27",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "HICKS-WILLIAMS",
        "authorized_official_first_name": "ANYTA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "850-356-0831",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AGNP, PMHNP"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Hunt, RPH
• Patrick Kyran Hunter, M.D.
• Bonnie Jo Igielski, BCBA
• Intellirad Imaging, LLC
• Intellirad Imaging, LLC
• Inward Path LLC
• Iti Agarwal, DDS, P.a.
• Hanna Ivalha, DMD
• Karen Michelle Jackson
• Kiersten Jackson, CLD

• Internal Medicine Physician in Milton, FL
• Providers in Milton, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.