SANTA ROSA HMA PHYSICIAN MANAGEMENT LLC
NPI 1679140537
Psychiatry & Neurology - Neurology in Milton, FL

NPI Status: Active since June 09, 2021

Contact Information

5992 BERRYHILL RD STE 205
MILTON, FL
ZIP 32570
Phone: (850) 626-5324
Fax: (850) 626-5325

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  • Organization
  • Psychiatry & Neurology
  • Neurology

About SANTA ROSA HMA PHYSICIAN MANAGEMENT LLC

This page provides the complete NPI Profile along with additional information for Santa Rosa Hma Physician Management Llc, a provider established in Milton, Florida operating as a Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1679140537 assigned on June 2021. The practitioner's primary taxonomy code is 2084N0400X. The provider is registered as an organization and their NPI record was last updated 4 years 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 provider's is doing business as Santa Rosa Hma Physician Management Llc. The authorized official of this NPI record is Jennifer L Jackson (Sr Dir Prov Enrollment & Onboarding)

NPI
1679140537
Provider Legal Name
SANTA ROSA HMA PHYSICIAN MANAGEMENT LLC
Other Organization Name
SANTA ROSA HMA PHYSICIAN MANAGEMENT LLC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5992 BERRYHILL RD STE 205 MILTON, FL 32570
Location Phone
(850) 626-5324
Location Fax
(850) 626-5325
Mailing Address
PO BOX 689022 FRANKLIN, TN 37068
Mailing Phone
(615) 465-7211
Mailing Fax
(850) 626-5325
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-09-2021
Last Update Date
03-16-2022
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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

Psychiatry & Neurology Neurology

Taxonomy Code
2084N0400X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 

Group Taxonomy 193400000X MULTIPLE 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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

JENNIFER L JACKSON

Authorized Official Title
SR DIR PROV ENROLLMENT & ONBOARDING
Authorized Official Phone
(615) 465-3334

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
374819715MEDICAID (05)FL 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1679140537, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
9
Unchanged
Pos 5
1
Doubled → 2
Pos 6
4
Unchanged
Pos 7
0
Doubled → 0
Pos 8
5
Unchanged
Pos 9
3
Doubled → 6
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 1 → 2 0 → 0 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 4 + 9 + 2 + 4 + 0 + 5 + 6 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1679140537.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Physician Assistant
5992 BERRYHILL RD STE 205
MILTON, FL 32570
Anesthesiology (Pain Medicine)
5992 BERRYHILL RD STE 205
MILTON, FL 32570

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679140537, enumerated as an "organization" on June 09, 2021.

The provider is located at 5992 BERRYHILL RD STE 205 MILTON, FL 32570 and the phone number is (850) 626-5324.

Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.