Beachside Medical Group LLC
NPI 1144022146 · Neonatal-Perinatal Medicine Physician · Pensacola, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Beachside Medical Group LLC is a Neonatal-Perinatal Medicine Physician organization in Pensacola, FL (NPI 1144022146).
Provider details
- NPI number
- 1144022146
- Entity type
- Organization
- Primary specialty
- Neonatal-Perinatal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jaclyn Havinga, President(850) 473-0100
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Additional practice locations (2)
- 8383 N Davis HwyPensacola, FL 32514-6039Phone: (850) 473-0100Fax: (850) 473-0500
- 5151 N 9th AvePensacola, FL 32504-8721Phone: (850) 473-0100Fax: (850) 473-0500
Registry dates
- Enumerated
- 2025-03-27
- Last updated
- 2025-08-15
- Certified
- 2025-08-15
Frequently asked questions
- What is Beachside Medical Group LLC's NPI number?
- Beachside Medical Group LLC's National Provider Identifier (NPI) is 1144022146, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Beachside Medical Group LLC?
- Beachside Medical Group LLC is classified in the NPPES registry as Neonatal-Perinatal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Beachside Medical Group LLC located?
- Beachside Medical Group LLC's practice location on file with NPPES is 123 Baptist Way, Pensacola, FL 32503-2254.
- What is Beachside Medical Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Beachside Medical Group LLC is (850) 473-0100.
- Does Beachside Medical Group LLC accept Medicare?
- Beachside Medical Group LLC 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 Beachside Medical Group LLC?
- The authorized official listed on Beachside Medical Group LLC's NPPES record is Jaclyn Havinga, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Beachside Medical Group LLC's NPI active?
- Yes — Beachside Medical Group LLC's NPI (1144022146) is active in the NPPES registry as of the last update on 2025-08-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.