PRIMARY CARE SOUTH, INC
NPI 1093356685
Internal Medicine in Santa Rosa Beach, FL
About Primary Care South, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIMARY CARE SOUTH, INC (NPI 1093356685) is a healthcare organization registered as an internal medicine in Santa Rosa Beach, Florida and active in the NPI registry since October 2019. The organization holds a CLIA Waiver certificate valid through June 24, 2028 and lists Kimmie Hunter, Credential, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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)
Primary Care South, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Primary Care South, Inc, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
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 10D2187108
Primary Care South Inc · Freeport, FLFrequently 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 Primary Care South, Inc's NPI number?
The NPI number for Primary Care South, Inc is 1093356685. It was assigned to this organization in the NPPES registry on October 4, 2019.
Where is Primary Care South, Inc located?
Primary Care South, Inc is located at 5551 Us Highway 98, Santa Rosa Beach, FL 32459. The listed phone number is (850) 420-5420.
What is Primary Care South, Inc's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Primary Care South, Inc enrolled in Medicare?
Yes. Primary Care South, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Primary Care South, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Primary Care South, Inc. 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. The largest specialties are Nurse Practitioner (4) and Internal Medicine (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Primary Care South, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2187108) is associated with this NPI, valid through June 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Primary Care South, Inc accept?
Health plans from Ambetter Health and Ambetter of Alabama list Primary Care South, 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 Primary Care South, Inc was last updated on October 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Primary Care South, Inc · NPI 1093356685
Internal Medicine organization in Santa Rosa Beach, Florida. Organization record, active in the CMS NPPES registry since October 4, 2019.
## Identity
- **NPI:** 1093356685 (Entity type: Organization)
- **Enumerated:** October 4, 2019
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Kimmie Hunter, CREDENTIAL
## Practice location
- **Address:** 5551 US HIGHWAY 98, Santa Rosa Beach, FL 32459
- **Phone:** (850) 420-5420 · **Fax:** (850) 244-8011
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Internal Medicine (1); 4 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 10, 2022
- **Other identifiers:** Medicaid 104684300 (FL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1093356685) · Data from the CMS NPPES public registry.