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VICKIE N HARRELL MD PA
NPI 1023101334
Internal Medicine in Panama City, FL

Active since October 02, 2006CLIA 10D0950695 · Waiver
801 E 6TH STREET, SUITE 204, PANAMA CITY, FL 32401(850) 913-0018(850) 913-9137 Get Directions Write a Review

NPPES record last updated: December 7, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Vickie N Harrell Md Pa NPPES

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

VICKIE N HARRELL MD PA (NPI 1023101334) is a healthcare organization registered as an internal medicine in Panama City, Florida and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through September 7, 2028 and lists Vickie N Harrell, President, as its authorized official.

NPPES Registry Identity

NPI1023101334
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameVICKIE N HARRELL MD PA
Location Address801 E 6TH STREET, SUITE 204Panama City, FL 32401
Mailing AddressPo Box 1330Lynn Haven, FL 32444 · (850) 913-0018 · Fax (850) 913-9137
Phone(850) 913-0018
Fax(850) 913-9137
Organization SubpartNo
Authorized OfficialVickie N HarrellPresident · (850) 913-0018
Enumeration DateOctober 2, 2006
Last NPPES UpdateDecember 7, 2011
✔ NPI 1023101334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME70385
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
801 E 6TH STREET, Panama City, FL 32401
Open in Google Maps ↗

Other Identifiers 3

Other31748FL · Bcbs Florida
Medicaid379777500FL
Medicare UPING27751FL

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vickie N Harrell Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Vickie N Harrell MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Vickie Harrell, M.D.
Internal Medicine
NPI 1730155060
292 FOREST PARK CIR
Panama City, FL 32405
(850) 913-0018
✔ PECOS✔ Accepts Medicare2.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 10D0950695

Vickie N Harrell MD · Panama City, FL
Active · expires Sep 7, 2028
CLIA Number10D0950695
Laboratory TypePhysician Office
Certificate Effective DateSeptember 8, 2026
Certificate Expiration DateSeptember 7, 2028
Laboratory DirectorVickie N. Harrell MD
Laboratory Phone(850) 913-0018
Laboratory LocationVickie N Harrell MD292 Forest Park Circle, Panama City, FL 32405
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Vickie N Harrell MD PA's NPI number?

The NPI number for Vickie N Harrell MD PA is 1023101334. It was assigned to this organization in the NPPES registry on October 2, 2006.

Where is Vickie N Harrell MD PA located?

Vickie N Harrell MD PA is located at 801 E 6th Street Suite 204, Panama City, FL 32401. The listed phone number is (850) 913-0018.

What is Vickie N Harrell MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Vickie N Harrell MD PA enrolled in Medicare?

Yes. Vickie N Harrell MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vickie N Harrell MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Vickie N Harrell MD PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Vickie N Harrell MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0950695) is associated with this NPI, valid through September 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vickie N Harrell MD PA was last updated on December 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.