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Organization

Beaches Behavioral Medicine

NPI Record: ActivePain Medicine — Interventional Pain Medicine
NPI1417309832
Jacksonville Beach, Florida

Provider's NPPES record last updated: January 12, 2023

Overview

Entity Type
Organization
NPI
1417309832
Primary Specialty
Pain Medicine — Interventional Pain Medicine
Practice Location
Jacksonville Beach, Florida
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 21, 2026, 6:45 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Pain Medicine

    Interventional Pain Medicine

    Allopathic & Osteopathic Physicians

    Primary

    Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

    Taxonomy code 208VP0014X
  • Family Medicine

    Addiction Medicine

    Allopathic & Osteopathic Physicians

    A family medicine physician who specializes in the diagnosis and treatment of addictions.

    Taxonomy code 207QA0401X
  • Preventive Medicine

    Addiction Medicine

    Allopathic & Osteopathic Physicians

    A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.

    Taxonomy code 2083A0300X
  • Psychiatry & Neurology

    Addiction Medicine

    Allopathic & Osteopathic Physicians

    A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

    Taxonomy code 2084A0401X
  • Psychiatry & Neurology

    Psychiatry

    Allopathic & Osteopathic Physicians

    A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

    Taxonomy code 2084P0800X
  • Psychiatry & Neurology

    Child & Adolescent Psychiatry

    Allopathic & Osteopathic Physicians

    Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

    Taxonomy code 2084P0804X
  • Psychiatry & Neurology

    Pain Medicine

    Allopathic & Osteopathic Physicians

    A neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

    Taxonomy code 2084P2900X
  • Pain Medicine

    Pain Medicine

    Allopathic & Osteopathic Physicians

    Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.

    Taxonomy code 208VP0000X

Provider-Reported License Information

Family Medicine (Florida)
ME115625
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

1351 13th Ave S Ste 120

Jacksonville Beach, Florida 32250-3237

Phone: (904) 280-6701

Additional Practice Location

2550 Park St

Ste B

Jacksonville, Florida 32204

Phone: (904) 280-6701

Fax: (904) 280-6702

Other Names

  • Beaches Laser Spine and Pain MedicineReported February 22, 2021
  • Beaches Specialty GroupReported February 22, 2021

Record Information

Enumeration Date
July 9, 2016
Provider's NPPES Record Last Updated
January 12, 2023
Certification Date
January 12, 2023
NPISignal NPPES Dataset
August 2026

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