West Florida Gulf Coast Primary Care · Greater Gulf Coast Primary Care · General Practice Physician

1921 E Nine Mile Rd, Pensacola, FL 32514-7747

Overview

West Florida Gulf Coast Primary Care is a General Practice Physician (organization) practicing in Pensacola, Florida. The National Provider Identifier (NPI) is #1801109178, which was assigned on July 15, 2010, and the registration record was last updated on July 15, 2010. The practitioner's main practice location is at 1921 E Nine Mile Rd, Pensacola, FL 32514-7747; the contact telephone number is 8504794858, and the fax number is 8504942260. The primary taxonomy of West Florida Gulf Coast Primary Care is General Practice Physician (208D00000X). The authorized official for West Florida Gulf Coast Primary Care is Jason K Harvey (Executive Director).

Provider Information

NPI 1801109178
Entity Type Organization
Organization Name WEST FLORIDA GULF COAST PRIMARY CARE
Provider Name WEST FLORIDA GULF COAST PRIMARY CARE
Other Organization Name GREATER GULF COAST PRIMARY CARE
(Doing Business As Name)
Other Name GREATER GULF COAST PRIMARY CARE
Practice Address 1921 E Nine Mile Rd
Pensacola
FL 32514-7747
Practice Telephone 8504794858
Practice Fax Number 8504942260
Mailing Address 1921 E Nine Mile Rd
Pensacola
FL 32514-7747
Mailing Telephone 8504794858
Mailing Fax Number 8504942260
Enumeration Date 2010-07-15
Last Update Date 2010-07-15
Is Organization Subpart N

Authorized Official Information

Official Name JASON K HARVEY
Official Title EXECUTIVE DIRECTOR
Telephone 8504794858

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y208D00000XGeneral Practice193200000X MULTI-SPECIALTY GROUP

Other Provider Identifiers

Other IdentifierIssuing StateIssuerIdentifier Type
98338FLBCBSOther
001169200FLMEDICAID

Other Provider Names

Other Organization NameType
Greater Gulf Coast Primary CareDoing Business As Name

Taxonomy Information

Primary Taxonomy

Code 208D00000X
Taxonomy General Practice Physician
Classification General Practice
Grouping Allopathic & Osteopathic Physicians
Definition: Definition to come...

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Location Information

Street Address 1921 E NINE MILE RD
City PENSACOLA
State FL
Zip Code 32514-7747
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Sandy Wienert 1921 E Nine Mile Rd, Pensacola, FL 32514-7747Primary Care Nurse Practitioner2012-09-20
Karen Snow 1921 E Nine Mile Rd, Pensacola, FL 32514-7747Family Medicine Physician2006-08-01
Tonya N Finney · Tonya Norton 1921 E Nine Mile Rd, Pensacola, FL 32514-7747Nurse Practitioner2021-06-17
Sophia Yvette Lynch · Sophia Yvette Rodriguez 1921 E Nine Mile Rd, Pensacola, FL 32514Physician Assistant2014-12-11
Greater Gulf Coast Primary Care LLC 1921 E Nine Mile Rd, Pensacola, FL 32514-7747Family Medicine Physician2008-07-10
Ronda E. Yoder 1921 E Nine Mile Rd, Pensacola, FL 32514-7747Adult Health Nurse Practitioner2009-12-28
Donna L Korando 1921 E Nine Mile Rd, Pensacola, FL 32514-7747Physician Assistant2009-07-09

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Cameron Rae Mackey 9091 Aiway Dr, Apt 622, Pensacola, FL 32514Student in an Organized Health Care Education/Training Program2019-03-07
B & B of Pensacola LLC 2024 E Olive Rd, Pensacola, FL 32514Home Health Agency2018-11-13
Emmie Pilcher Flowers 9999 Chemstrand Road, Pensacola, FL 32514Mental Health Counselor2024-01-29
Valerie Kuloba 9251 University Parkway, Pensacola, FL 32514Pharmacist2013-08-13
Gary Batra Hca Florida West Hospital 8383 N. Davis Highway, Pensacola, FL 32514Student in an Organized Health Care Education/Training Program2023-04-07
Mackenzie Kathleen Williams 11000 University Parkway, Pensacola, FL 32514Student in an Organized Health Care Education/Training Program2023-06-26
James Daniel Langston 8383 North Davie Highway, Pensacola, FL 32514Certified Registered Nurse Anesthetist2013-11-08
Chana Levy 10080 Hillview Dr # 387b, Pensacola, FL 32514Developmental Therapist2018-05-31
Eliza Oli 8383 N. Davis Highway Hca Florida West Hospital, Gme 6th Floor Ancillary Attn: Marla Pargoff, Pensacola, FL 32514Student in an Organized Health Care Education/Training Program2024-04-03
Michelle Horne 9900 N. Davis Hwy. Proud Moments Aba Dba Spectrum House, Pensacola, FL 32514Behavior Technician2021-12-07
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.