Pediatrix Medical Group Ambulatory Services of Tn, PLLC
NPI 1063110880 · Maternal & Fetal Medicine Physician · Sunrise, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pediatrix Medical Group Ambulatory Services of Tn, PLLC is a Maternal & Fetal Medicine Physician organization in Sunrise, FL (NPI 1063110880).
Provider details
- NPI number
- 1063110880
- Entity type
- Organization
- Primary specialty
- Maternal & Fetal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Ashford, Assistant Secretary(800) 243-3839
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatric Infectious Diseases Physician2080P0208X
Allopathic & Osteopathic Physicians
- Pediatric Pulmonology Physician2080P0214X
Allopathic & Osteopathic Physicians
- Pediatric Surgery Physician2086S0120X
Allopathic & Osteopathic Physicians
- Acute Care Nurse Practitioner363LA2100X
Physician Assistants & Advanced Practice Nursing Providers
- Women's Health Nurse Practitioner363LW0102X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-02-21
- Last updated
- 2025-08-05
- Certified
- 2025-08-05
Frequently asked questions
- What is Pediatrix Medical Group Ambulatory Services of Tn, PLLC's NPI number?
- Pediatrix Medical Group Ambulatory Services of Tn, PLLC's National Provider Identifier (NPI) is 1063110880, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatrix Medical Group Ambulatory Services of Tn, PLLC?
- Pediatrix Medical Group Ambulatory Services of Tn, PLLC is classified in the NPPES registry as Maternal & Fetal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Pediatrix Medical Group Ambulatory Services of Tn, PLLC located?
- Pediatrix Medical Group Ambulatory Services of Tn, PLLC's practice location on file with NPPES is 1301 Concord Ter, Sunrise, FL 33323-2843.
- What is Pediatrix Medical Group Ambulatory Services of Tn, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Pediatrix Medical Group Ambulatory Services of Tn, PLLC is (800) 243-3839.
- Does Pediatrix Medical Group Ambulatory Services of Tn, PLLC accept Medicare?
- Pediatrix Medical Group Ambulatory Services of Tn, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pediatrix Medical Group Ambulatory Services of Tn, PLLC?
- The authorized official listed on Pediatrix Medical Group Ambulatory Services of Tn, PLLC's NPPES record is Michael Ashford, Assistant Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatrix Medical Group Ambulatory Services of Tn, PLLC's NPI active?
- Yes — Pediatrix Medical Group Ambulatory Services of Tn, PLLC's NPI (1063110880) is active in the NPPES registry as of the last update on 2025-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.