Phoenix Cm Incorporated

Phoenix Cm Incorporated is a healthcare organization registered as Case Manager/Care Coordinator in Saint Augustine, FL, holding Type 2 (organization) NPI 1306103353 since 2012. The authorized official on file is Ella Russell, Executive Director.

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NPI	1306103353
Entity type	Organization (Type 2)
Legal business name	Phoenix Cm Incorporated
Practice address	52 TUSCAN WAY, STE. 202-142, Saint Augustine, FL, 32092
Phone	9042019275
Enumeration date	2012-04-16
Last updated in NPPES	2012-04-16

Authorized official

Name	Ella Russell
Title	Executive Director
Phone	4438806124

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
171M00000X	Case Manager/Care Coordinator	Primary	—	—

Copy-ready billing details

Provider: Phoenix Cm Incorporated
NPI: 1306103353
Taxonomy: 171M00000X (Case Manager/Care Coordinator)
Address: 52 TUSCAN WAY, STE. 202-142, Saint Augustine, FL, 32092

Providers at this address

NPI	Name	Type	Specialty	Location
1083779557	Edward Tanza	Individual	Chiropractor	Saint Augustine, FL
1285931485	Florida Woman Care	Organization	Obstetrics & Gynecology Physician	St Augustine, FL
1134465685	H & Z Renal Care LLC	Organization	Nephrology Physician	St Augustine, FL

Verify this record

Cross-check NPI 1306103353 against the authoritative CMS record: view Phoenix Cm Incorporated on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-04-16. Verify at npiregistry.cms.hhs.gov.

Where is Phoenix Cm Incorporated located?

The practice location on file with NPPES is in Saint Augustine, FL.

Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2012-04-16.