OrganizationActive
Santa Rosa Hma Physician Management LLC
NPI 1093474637 · Family Medicine Physician · Milton, FL
Provider details
- NPI number
- 1093474637
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jennifer Jackson, Sr Dir Onboarding & Prov Enrollment(615) 465-3334
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
4225 Woodbine Rd Ste G
Milton, FL 32571-8791
Phone: (850) 994-6575
Fax: (850) 994-5643
Street-level locationGet directions
Mailing address
Po Box 689022
Franklin, TN 37068-9022
Other names (DBA / former)
- Doing business as
- Santa Rosa Hma Physician Management LLC
- Doing business as
- Santa Rosa Hma Physician Management LLC
Registry dates
- Enumerated
- 2021-12-10
- Last updated
- 2022-03-16
- Certified
- 2022-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.