THE SOUTHERN PRACTITIONER GROUP
NPI 1063389377
Nurse Practitioner - Family in Pensacola, FL
About The Southern Practitioner Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THE SOUTHERN PRACTITIONER GROUP (NPI 1063389377) is a healthcare organization registered as a family in Pensacola, Florida and active in the NPI registry since October 2025. The organization lists Jennifer M Prince, Aprn/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
The Southern Practitioner Group 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 The Southern Practitioner Group, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 The Southern Practitioner Group's NPI number?
The NPI number for The Southern Practitioner Group is 1063389377. It was assigned to this organization in the NPPES registry on October 21, 2025.
Where is The Southern Practitioner Group located?
The Southern Practitioner Group is located at 2244 Berrydale Rd, Pensacola, FL 32534. The listed phone number is (850) 434-0077.
What is The Southern Practitioner Group's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is The Southern Practitioner Group enrolled in Medicare?
Yes. The Southern Practitioner Group is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through The Southern Practitioner Group?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to The Southern Practitioner Group. 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.
What insurance does The Southern Practitioner Group accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list The Southern Practitioner Group 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 The Southern Practitioner Group was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# The Southern Practitioner Group · NPI 1063389377
Family organization in Pensacola, Florida. Organization record, active in the CMS NPPES registry since October 21, 2025.
## Identity
- **NPI:** 1063389377 (Entity type: Organization)
- **Enumerated:** October 21, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Jennifer Prince, APRN/OWNER
## Practice location
- **Address:** 2244 BERRYDALE RD, Pensacola, FL 32534-9525
- **Phone:** (850) 434-0077 · **Fax:** (850) 434-0220
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1063389377) · Data from the CMS NPPES public registry.