Organization Active NPI

Pointe Medical Services Inc

  • Preferred Provider Organization
  • Orange Park, FL
National Provider Identifier
1992844351
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
ME0069445 Issued in FL
Legal business name
POINTE MEDICAL SERVICES INC
Practice address
1996 Kingsley Ave
Orange Park, FL 32073-4442
Phone
(904) 276-5700
Fax
(904) 272-1474
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Authorized official

Name
Mrs. Christine Bain, MD
Title
Billing Supervisor
Phone
(904) 276-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X ME0069445 FL Primary

Addresses

Primary practice location

1996 Kingsley Ave
Orange Park, FL 32073-4442

Mailing address

1996 Kingsley Ave
Orange Park, FL 32073-4442
Phone (904) 276-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040108000732 FL Part B Supplier - Clinic/Group Practice 3274432125 Receives reassigned benefits from 5 practitioners
Practice locations: Orange Park, FL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0971491Pointe Medical Services Inc1996 Kingsley Ave, Orange Park, FL 32073ComplianceOct 27, 2027

National Provider Directory

National Provider Directory

Locations

1996 Kingsley Ave
#A
Orange Park, FL 32073

1996 Kingsley Ave
Orange Park, FL 32073
Phone (904) 272-9679

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20909/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 7

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": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566950400000",
    "number": "1992844351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1996 KINGSLEY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734442",
            "telephone_number": "904-276-5700",
            "fax_number": "904-272-1474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1996 KINGSLEY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734442",
            "telephone_number": "904-276-5700",
            "fax_number": "904-272-1474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POINTE MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2019-08-28",
        "status": "A",
        "authorized_official_last_name": "BAIN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "904-276-5700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": "ME0069445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.