SANTA ROSA MEDICAL GROUP
NPI 1801235445
Internal Medicine in Navarre, FL

Active since June 17, 2013CLIA 10D0988851 · Waiver
1929 ORTEGA ST, NAVARRE, FL 32566(850) 396-8048(850) 936-8049 Get Directions Write a Review

NPPES record last updated: March 16, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Santa Rosa Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANTA ROSA MEDICAL GROUP (NPI 1801235445) is a healthcare organization registered as an internal medicine in Navarre, Florida and active in the NPI registry since June 2013. The organization holds a CLIA Waiver certificate valid through July 9, 2027 and lists Jennifer L Jackson, Senior Director Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1801235445
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSANTA ROSA HMA PHYSICIAN MANAGEMENT, LLC
Location Address1929 ORTEGA STNavarre, FL 32566-4111
Mailing Address5811 Pelican Bay Blvd, 500Naples, FL 34108-2704 · (239) 552-3514 · Fax (239) 592-0438
Fax(850) 936-8049
Organization SubpartYesParent: Health Management Associates
Authorized OfficialJennifer L JacksonSenior Director Provider Enrollment · (615) 465-3334
Enumeration DateJune 17, 2013
Last NPPES UpdateMarch 16, 2022
NPPES CertifiedMarch 16, 2022
NPI 1801235445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
1929 ORTEGA ST, Navarre, FL 32566

Other Names 1

Doing Business AsSanta Rosa Medical Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0988851

Santa Rosa Medical Group · Navarre, FL
Active · expires Jul 9, 2027
CLIA Number10D0988851
Laboratory TypePhysician Office
Certificate Effective DateJuly 10, 2025
Certificate Expiration DateJuly 9, 2027
Laboratory DirectorGenevieve Hinks
Laboratory Phone(850) 936-1316
Laboratory LocationSanta Rosa Medical Group7456 Navarre Pkwy, Navarre, FL 32566
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Santa Rosa Hma Physician Management, LLC's NPI number?

The NPI number for Santa Rosa Hma Physician Management, LLC is 1801235445. It was assigned to this organization in the NPPES registry on June 17, 2013. The provider is doing business as Santa Rosa Medical Group.

Where is Santa Rosa Hma Physician Management, LLC located?

Santa Rosa Hma Physician Management, LLC is located at 1929 Ortega St, Navarre, FL 32566. The listed phone number is (850) 396-8048.

What is Santa Rosa Hma Physician Management, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Santa Rosa Hma Physician Management, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0988851) is associated with this NPI, valid through July 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Santa Rosa Hma Physician Management, LLC was last updated on March 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.