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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PEA RIDGE FAMILY CARE CENTER INC
NPI 1013587955
Family Medicine in Pace, FL

Active since July 01, 2021CLIA 10D0923882 · Waiver
5553 HIGHWAY 90, PACE, FL 32571(850) 995-8811(850) 995-8810 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Jul 31, 2026, Jul 1, 2021 (2 updates tracked since 2021).

About Pea Ridge Family Care Center Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEA RIDGE FAMILY CARE CENTER INC (NPI 1013587955) is a healthcare organization registered as a family medicine in Pace, Florida and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through January 3, 2028 and lists Purushottam K. Garg, Owner, as its authorized official.

NPPES Registry Identity

NPI1013587955
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePEA RIDGE FAMILY CARE CENTER INC
Location Address5553 HIGHWAY 90Pace, FL 32571-1540
Mailing Address5500 N Davis Hwy Ste 2Pensacola, FL 32503-2063 · (850) 475-0867 · Fax (850) 475-0895
Phone(850) 995-8811
Fax(850) 995-8810
Organization SubpartNo
Authorized OfficialPurushottam K. GargOwner · (850) 995-8811
Enumeration DateJuly 1, 2021
Last NPPES UpdateJuly 31, 20262 updates tracked since enumeration
NPPES CertifiedJuly 31, 2026
✔ NPI 1013587955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5553 HIGHWAY 90, Pace, FL 32571
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0923882

Pea Ridge Family Care Center · Pace, FL
Active · expires Jan 3, 2028
CLIA Number10D0923882
Laboratory TypeCommunity Clinic
Certificate Effective DateJanuary 4, 2026
Certificate Expiration DateJanuary 3, 2028
Laboratory DirectorAnju Garg
Laboratory Phone(850) 995-8811
Laboratory LocationPea Ridge Family Care Center5553 Hwy 90, Pace, FL 32571
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALABAMA FAMILY HEALTHCARE LLC
Family Medicine
5553 HIGHWAY 90
PACE, FL 32571
Santa Rosa County (850) 995-8811
AFFORDABLE MEDICAL CLINIC INC
Family Medicine
5553 HIGHWAY 90
PACE, FL 32571
Santa Rosa County (850) 995-8811
ANJU GARG MD
Family Medicine
5553 HIGHWAY 90
PACE, FL 32571
Santa Rosa County (850) 995-8811

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pea Ridge Family Care Center Inc's NPI number?

The NPI number for Pea Ridge Family Care Center Inc is 1013587955. It was assigned to this organization in the NPPES registry on July 1, 2021.

Where is Pea Ridge Family Care Center Inc located?

Pea Ridge Family Care Center Inc is located at 5553 Highway 90, Pace, FL 32571. The listed phone number is (850) 995-8811.

What is Pea Ridge Family Care Center Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Pea Ridge Family Care Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0923882) is associated with this NPI, valid through January 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pea Ridge Family Care Center Inc accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Pea Ridge Family Care Center Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pea Ridge Family Care Center Inc was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.