NORTH FLORIDA MEDICAL GROUP
NPI 1942516935
General Practice in Lynn Haven, FL

Active since August 27, 2010CLIA 10D2012280 · Waiver
1702 OHIO AVE, LYNN HAVEN, FL 32444(850) 747-2010(850) 747-2016 Get Directions Write a Review

NPPES record last updated: August 27, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About North Florida Medical Group NPPES

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

NORTH FLORIDA MEDICAL GROUP (NPI 1942516935) is a healthcare organization registered as a general practice in Lynn Haven, Florida and active in the NPI registry since August 2010. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Kim D Shinsky, Administrator, as its authorized official.

NPPES Registry Identity

NPI1942516935
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameNORTH FLORIDA MEDICAL GROUP
Location Address1702 OHIO AVELynn Haven, FL 32444-4290
Mailing Address1702 Ohio AveLynn Haven, FL 32444-4290 · (850) 747-2010 · Fax (850) 747-2016
Fax(850) 747-2016
Organization SubpartNo
Authorized OfficialKim D ShinskyAdministrator · (850) 867-2006
Enumeration DateAugust 27, 2010
NPI 1942516935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in FL · ME103213
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedPlastic SurgeryTaxonomy 208200000X · License ME97726 (FL)
Also ListedSurgeryTaxonomy 208600000X · License ME95473 (FL)
Also ListedNurse PractitionerTaxonomy 363L00000X · License ARNP2800032 (FL)
1702 OHIO AVE, Lynn Haven, FL 32444

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 10D2012280

North Florida Medical Group · Lynn Haven, FL
Active · expires Aug 31, 2026
CLIA Number10D2012280
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorHatem Mourad
Laboratory Phone(850) 747-2010
Laboratory LocationNorth Florida Medical Group1702 Ohio Ave, Lynn Haven, FL 32444
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Urgent Care)
1702 OHIO AVE
LYNN HAVEN, FL 32444
Family Medicine
1702 OHIO AVE
LYNN HAVEN, FL 32444
Plastic Surgery
1702 OHIO AVE
LYNN HAVEN, FL 32444
Surgery (Plastic and Reconstructive Surgery)
1702 OHIO AVE
LYNN HAVEN, FL 32444
Nurse Practitioner (Family)
1702 OHIO AVE
LYNN HAVEN, FL 32444
Nurse Practitioner (Family)
1702 OHIO AVE
LYNN HAVEN, FL 32444
Nurse Practitioner (Family)
1702 OHIO AVE
LYNN HAVEN, FL 32444
Surgery (Plastic and Reconstructive Surgery)
1702 OHIO AVE
LYNN HAVEN, FL 32444

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 North Florida Medical Group's NPI number?

The NPI number for North Florida Medical Group is 1942516935. It was assigned to this organization in the NPPES registry on August 27, 2010.

Where is North Florida Medical Group located?

North Florida Medical Group is located at 1702 Ohio Ave, Lynn Haven, FL 32444. The listed phone number is (850) 747-2010.

What is North Florida Medical Group's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does North Florida Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2012280) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for North Florida Medical Group was last updated on August 27, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.