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MMA WELLNESS
NPI 1053892620
Nurse Practitioner - Family in Panama City, FL

Active since August 22, 2018
2428 JENKS AVE, PANAMA CITY, FL 32405(850) 788-3120(850) 788-3125 Get Directions Write a Review

NPPES record last updated: May 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 20, 2020, Apr 25, 2019, Aug 22, 2018 (3 updates tracked since 2018).

About Mma Wellness NPPES

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

MMA WELLNESS (NPI 1053892620) is a healthcare organization registered as a family in Panama City, Florida and active in the NPI registry since August 2018. The organization lists Mary Margaret Andrews, President, as its authorized official.

NPPES Registry Identity

NPI1053892620
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMMA WELLNESS
Location Address2428 JENKS AVEPanama City, FL 32405-4304
Mailing Address1417 Maine AveLynn Haven, FL 32444-2129 · (850) 788-3120
Phone(850) 788-3120
Fax(850) 788-3125
Organization SubpartYes
Authorized OfficialMary Margaret AndrewsPresident · (850) 814-6562
Enumeration DateAugust 22, 2018
Last NPPES UpdateMay 20, 20203 updates tracked since enumeration
NPPES CertifiedMay 20, 2020
✔ NPI 1053892620 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
License✔ Licensed in FL · ARNP9266378
2428 JENKS AVE, Panama City, FL 32405
Open in Google Maps ↗

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

Other Providers at the Same Location NPPES 10

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

LAURIE K BOEHM PA
Physician Assistant (Medical)
2428 JENKS AVE
PANAMA CITY, FL 32405
Bay County (850) 215-6008
JIVKA CHINKOVA
Massage Therapist
2428 JENKS AVE, SUITE B
PANAMA CITY, FL 32405
Bay County (850) 215-8397
AMANDA M WIERENGA
Massage Therapist
2428 JENKS AVE
PANAMA CITY, FL 32405
Bay County (850) 215-8397
FLORIDA SPORTS MEDICINE & ORTHOPAEDICS PA
Orthopaedic Surgery
2428 JENKS AVE
PANAMA CITY, FL 32405
Bay County (850) 763-0346
RACHAEL BOYD APRN
Nurse Practitioner (Family)
2428 JENKS AVE
PANAMA CITY, FL 32405
Bay County (850) 640-0663
CHERYL KAY SANDLIN RN
Registered Nurse (Administrator)
2428 JENKS AVE
PANAMA CITY, FL 32405
Bay County (850) 215-8397
MARY M ANDREWS ARNP
Nurse Practitioner (Family)
2428 JENKS AVE
PANAMA CITY, FL 32405
Bay County (850) 788-3120
MR. JAMES MCGHEE TALKINGTON MD
Orthopaedic Surgery
2428 JENKS AVE
PANAMA CITY, FL 32405
Bay County (850) 763-0346

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 Mma Wellness's NPI number?

The NPI number for Mma Wellness is 1053892620. It was assigned to this organization in the NPPES registry on August 22, 2018.

Where is Mma Wellness located?

Mma Wellness is located at 2428 Jenks Ave, Panama City, FL 32405. The listed phone number is (850) 788-3120.

What is Mma Wellness's specialty?

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

When was this NPI record last updated?

The NPPES record for Mma Wellness was last updated on May 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.