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SOUTHERN BREEZE PRIMARY CARE, LLC
NPI 1114734183
Clinic/Center - Primary Care in Panama City, FL

Active since December 13, 2024CLIA 10D2316851 · Waiver
107 W 19TH ST, PANAMA CITY, FL 32405(850) 527-6489 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southern Breeze Primary Care, Llc NPPES

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

SOUTHERN BREEZE PRIMARY CARE, LLC (NPI 1114734183) is a healthcare organization registered as a primary care in Panama City, Florida and active in the NPI registry since December 2024. The organization holds a CLIA Waiver certificate valid through January 13, 2027 and lists Lisa Leanne King, Administrator, as its authorized official.

NPPES Registry Identity

NPI1114734183
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSOUTHERN BREEZE PRIMARY CARE, LLC
Location Address107 W 19TH STPanama City, FL 32405-4647
Mailing Address6506 Gardenia StPanama City, FL 32404-5162 · (850) 527-6489
Phone(850) 527-6489
Organization SubpartNo
Authorized OfficialLisa Leanne KingAdministrator · (850) 527-6489
Enumeration DateDecember 13, 2024
NPPES CertifiedDecember 13, 2024
✔ NPI 1114734183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
107 W 19TH ST, Panama City, FL 32405
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL).Insurance ›

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 10D2316851

Southern Breeze Primary Care LLC · Panama City, FL
Active · expires Jan 13, 2027
CLIA Number10D2316851
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 14, 2025
Certificate Expiration DateJanuary 13, 2027
Laboratory DirectorHolly Gay
Laboratory Phone(850) 248-8002
Laboratory LocationSouthern Breeze Primary Care LLC107 W 19th St Ste B, Panama City, FL 32405
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

KELLY MARIE CABANA ARNP
Nurse Practitioner (Family)
107 W 19TH ST
PANAMA CITY, FL 32405
Bay County (850) 785-3040
JACQUELINE CHARMAINE DANIELS APRN, FNP-C
Nurse Practitioner (Family)
107 W 19TH ST
PANAMA CITY, FL 32405
Bay County (850) 769-3040
DELANEY KAY HARRIS PA-C
Physician Assistant (Surgical)
107 W 19TH ST
PANAMA CITY, FL 32405
Bay County (850) 522-5022
SWEENEY & MONROE ADULT DAY CARE CENTER
Clinic/Center (Adult Day Care)
107 W 19TH ST
PANAMA CITY, FL 32405
Bay County (866) 228-3107
HOLLY ELIZABETH GAY APRN-C
Nurse Practitioner (Family)
107 W 19TH ST
PANAMA CITY, FL 32405
Bay County (850) 248-8002

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 Southern Breeze Primary Care, LLC's NPI number?

The NPI number for Southern Breeze Primary Care, LLC is 1114734183. It was assigned to this organization in the NPPES registry on December 13, 2024.

Where is Southern Breeze Primary Care, LLC located?

Southern Breeze Primary Care, LLC is located at 107 W 19th St, Panama City, FL 32405. The listed phone number is (850) 527-6489.

What is Southern Breeze Primary Care, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Southern Breeze Primary Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2316851) is associated with this NPI, valid through January 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southern Breeze Primary Care, LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) list Southern Breeze Primary Care, LLC 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 Southern Breeze Primary Care, LLC was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.