Santa Rosa Hma Physician Management LLC
NPI 1093474637ActiveOrganization· Family Medicine· Milton, FL
Family Medicine in Milton, Florida, registered in NPPES in December 2021. The authorized official on file is Jennifer L. Jackson, Sr Dir Onboarding & Prov Enrollment.
Overview
| NPI | 1093474637 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 10, 2021 |
| Last updated in NPPES | Mar 16, 2022 |
| Certified by provider | Mar 16, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Nurse Practitioner, Family | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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