Active NPI
Allen Gray Swift, MD
- General Practice Physician
- Bonifay, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ACN 263
- Practice address
- 603 Scenic Circle Dr
Bonifay, FL 32425-3060 - Phone
- (850) 547-8500
- Fax
- (850) 547-8515
- NPI assigned
- May 1, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 14557 | PR | |
| General Practice Physician | 208D00000X | ACN 263 | FL | Primary |
Addresses
Primary practice location
603 Scenic Circle Dr
Bonifay, FL 32425-3060
Mailing address
603 Scenic Circle Dr
Bonifay, FL 32425-3060
Phone (850) 547-8500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000207600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Florida Department of Health
Practice addresses (Care Compare)
603 Scenic Circle Dr
Bonifay, FL 32425-3060
Phone 8505478500223
Hospital & facility affiliations
- Doctors Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACN 263 | FL | MD | General Practice Physician |
| 14557 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Department of Health | Current | Accepting new patients | |
| Florida Department of Health | Current | Accepting new patients | |
| Florida Department of Health | Current | Accepting new patients | |
| Toa Baja Health Center | Past | Accepting new patients | |
| Florida Department of Health | Past | Accepting new patients |
Locations
603 Scenic Circle Dr
Bonifay, FL 32425
Phone (850) 547-3691
1338 South Blvd
Chipley, FL 32428
Phone (850) 638-6240
2475 Garrison Ave
Port St Joe, FL 32456
Phone (850) 227-1276
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Public Health or Welfare Agency
- Bonifay, FL
- NPI 1710949318
-
- Public Health or Welfare Agency
- Chipley, FL
- NPI 1780647529
-
- Public Health or Welfare Agency
- Bronson, FL
- NPI 1154395390
-
- Public Health or Welfare Agency
- Lecanto, FL
- NPI 1164493664
-
- Clinical Medical Laboratory
- Toa Baja, PR
- NPI 1437363215
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Bonifay, FL
- NPI 1366431702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359417600000",
"number": "1992925937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 SCENIC CIRCLE DR",
"city": "BONIFAY",
"state": "FL",
"postal_code": "324253060",
"telephone_number": "850-547-8500",
"fax_number": "850-547-8515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 SCENIC CIRCLE DR",
"city": "BONIFAY",
"state": "FL",
"postal_code": "324253060",
"telephone_number": "850-547-8500",
"fax_number": "850-547-8515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWIFT",
"first_name": "ALLEN",
"middle_name": "GRAY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2013-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "14557",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ACN 263",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000207600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bonifay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.