ADVANCED HEALTHCARE ASSOCIATES
NPI 1043858475
Nurse Practitioner - Family in Panama City, FL

Active since December 16, 2019CLIA 10D2180807 · Waiver
1007 JENKS AVE, PANAMA CITY, FL 32401(850) 215-7920(850) 848-9295 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 4, 2025, Apr 8, 2025, Feb 17, 2022 and 2 more (5 updates tracked since 2019).

About Advanced Healthcare Associates NPPES

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

ADVANCED HEALTHCARE ASSOCIATES (NPI 1043858475) is a healthcare organization registered as a family in Panama City, Florida and active in the NPI registry since December 2019. The organization holds a CLIA Waiver certificate valid through March 19, 2028 and lists Heather R Taylor, Owner, as its authorized official.

NPPES Registry Identity

NPI1043858475
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameADVANCED HEALTHCARE ASSOCIATES
Location Address1007 JENKS AVEPanama City, FL 32401-2474
Mailing Address1007 Jenks AvePanama City, FL 32401-2474 · (850) 215-7920 · Fax (850) 848-9295
Fax(850) 848-9295
Organization SubpartNo
Authorized OfficialHeather R TaylorOwner · (850) 215-7920
Enumeration DateDecember 16, 2019
Last NPPES UpdateNovember 4, 20255 updates tracked since enumeration
NPPES CertifiedNovember 4, 2025
✔ NPI 1043858475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1007 JENKS AVE, Panama City, FL 32401

Other Names 1

Doing Business AsAdvanced Healthcare Associates

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)

Advanced Healthcare Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Advanced Healthcare Associates, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1821950577
1007 JENKS AVE
Panama City, FL 32401
(850) 867-9195
✔ PECOSSame address
Nurse Practitioner
NPI 1770884298
1007 JENKS AVE
Panama City, FL 32401
(850) 215-7920
✔ PECOSSame address
Nurse Practitioner
NPI 1841859303
2687 JENKS AVE
Panama City, FL 32405
(850) 215-7920
✔ PECOS2.0 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 10D2180807

Advanced Healthcare Associates · Panama City, FL
Active · expires Mar 19, 2028
CLIA Number10D2180807
Laboratory TypePractitioner Other
Certificate Effective DateMarch 20, 2026
Certificate Expiration DateMarch 19, 2028
Laboratory DirectorHeather R. Taylor
Laboratory Phone(850) 215-7920
Laboratory LocationAdvanced Healthcare Associates1007 Jenks Ave, Panama City, FL 32401
CLIA data matches this NPI record on: Address 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 Advanced Healthcare Associates's NPI number?

The NPI number for Advanced Healthcare Associates is 1043858475. It was assigned to this organization in the NPPES registry on December 16, 2019.

Where is Advanced Healthcare Associates located?

Advanced Healthcare Associates is located at 1007 Jenks Ave, Panama City, FL 32401. The listed phone number is (850) 215-7920.

What is Advanced Healthcare Associates's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Advanced Healthcare Associates enrolled in Medicare?

Yes. Advanced Healthcare Associates is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Healthcare Associates?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Advanced Healthcare Associates. 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. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Advanced Healthcare Associates hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2180807) is associated with this NPI, valid through March 19, 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 Advanced Healthcare Associates was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.