BEACHSIDE MEDICAL GROUP LLC
NPI 1144022146
Pediatrics - Neonatal-Perinatal Medicine in Pensacola, FL

Active since March 27, 2025
123 BAPTIST WAY, PENSACOLA, FL 32503(850) 473-0100(850) 473-0500 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 15, 2025, Apr 4, 2025, Mar 27, 2025 (3 updates tracked since 2025).

  • Organization
  • Pediatrics
  • Neonatal-Perinatal Medicine

About BEACHSIDE MEDICAL GROUP LLC

This page provides the complete NPI Profile along with additional information for Beachside Medical Group Llc, a pediatrician established in Pensacola, Florida operating as a Pediatrics, focusing in neonatal-perinatal medicine . The healthcare provider is registered in the NPI registry with number 1144022146 assigned on March 2025. The practitioner's primary taxonomy code is 2080N0001X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Jaclyn H. Havinga Md (President)

NPI
1144022146 Verify this NPI
Provider Name
BEACHSIDE MEDICAL GROUP LLC
Entity Type
Organization
Location Address
123 BAPTIST WAY PENSACOLA, FL 32503
Location Phone
(850) 473-0100
Location Fax
(850) 473-0500
Mailing Address
4951 GRANDE DR PENSACOLA, FL 32504
Mailing Phone
(850) 473-0100
Mailing Fax
(850) 473-0500
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-27-2025
Last Update Date
08-15-2025
Code Navigator

A pediatrician like Beachside Medical Group Llc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Secondary Locations

  • 5151 N 9th Ave
    Pensacola, FL 32504
    (850) 473-0100
  • 8383 N Davis Hwy
    Pensacola, FL 32514
    (850) 473-0100

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Neonatal-Perinatal Medicine

Taxonomy Code
2080N0001X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JACLYN H. HAVINGA MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(850) 473-0100

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Hospitalist
123 BAPTIST WAY
PENSACOLA, FL 32503
Nurse Practitioner (Family)
123 BAPTIST WAY
PENSACOLA, FL 32503
Emergency Medicine
123 BAPTIST WAY
PENSACOLA, FL 32503
Anesthesiology
123 BAPTIST WAY
PENSACOLA, FL 32503
Obstetrics & Gynecology
123 BAPTIST WAY
PENSACOLA, FL 32503
Nurse Anesthetist, Certified Registered
123 BAPTIST WAY
PENSACOLA, FL 32503
Nurse Practitioner
123 BAPTIST WAY
PENSACOLA, FL 32503
Nurse Anesthetist, Certified Registered
123 BAPTIST WAY
PENSACOLA, FL 32503
Physician Assistant
123 BAPTIST WAY
PENSACOLA, FL 32503
Physician Assistant
123 BAPTIST WAY
PENSACOLA, FL 32503
Nurse Practitioner (Family)
123 BAPTIST WAY
PENSACOLA, FL 32503
Internal Medicine
123 BAPTIST WAY
PENSACOLA, FL 32503
Physical Therapist
123 BAPTIST WAY
PENSACOLA, FL 32503
Clinic/Center (Physical Therapy)
123 BAPTIST WAY
PENSACOLA, FL 32503
Registered Nurse (Registered Nurse First Assistant)
123 BAPTIST WAY
PENSACOLA, FL 32503
Registered Nurse
123 BAPTIST WAY
PENSACOLA, FL 32503
Emergency Medicine
123 BAPTIST WAY
PENSACOLA, FL 32503
Family Medicine (Hospice and Palliative Medicine)
123 BAPTIST WAY
PENSACOLA, FL 32503
Nurse Practitioner (Family)
123 BAPTIST WAY
PENSACOLA, FL 32503
Internal Medicine
123 BAPTIST WAY
PENSACOLA, FL 32503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144022146, enumerated as an "organization" on March 27, 2025.

The provider is located at 123 BAPTIST WAY PENSACOLA, FL 32503 and the phone number is (850) 473-0100.

Pediatrics with taxonomy code 2080N0001X and a focus in Neonatal-Perinatal Medicine.