PEAKLIFE MEDICAL GROUP LLC – NPI #1477127389
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

PEAKLIFE MEDICAL GROUP LLC is a provider located in PENSACOLA, FL. NPPES has assigned the NPI number 1477127389 to PEAKLIFE MEDICAL GROUP LLC on May 14, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 5 years ago on May 31, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PEAKLIFE MEDICAL GROUP LLC below.

NPI Profile for
PEAKLIFE MEDICAL GROUP LLC

NPI Number
1477127389
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PEAKLIFE MEDICAL GROUP LLC
Primary location
9 W BLOUNT ST
PENSACOLA, FL 32501-2614
Phone: (850) 525-9684 Fax:
Mailing address
101 PALAFOX PL # 13132
PENSACOLA, FL 32502-5629
Phone: (850) 525-9684 Fax:
Organization Subpart
No
Authorized Official
TAVARIS BROOKS
PROVIDER
Phone: (850) 525-9684
Updated
Certification Date
May 31, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Other URL
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
8116 STREAM RIDGE RD,
PENSACOLA, FL 77025-1669