WELLNESS PENSACOLA PLLC
NPI 1114767373
Internal Medicine in Pensacola, FL

Active since May 27, 2024CLIA 10D2042162 · Waiver
4400 BAYOU BLVD STE 49A, PENSACOLA, FL 32503(850) 741-4723(850) 741-4579 Get Directions Write a Review

NPPES record last updated: May 27, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wellness Pensacola Pllc NPPES

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

WELLNESS PENSACOLA PLLC (NPI 1114767373) is a healthcare organization registered as an internal medicine in Pensacola, Florida and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through June 6, 2028 and lists Alicia Chen, Owner, as its authorized official.

NPPES Registry Identity

NPI1114767373
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWELLNESS PENSACOLA PLLC
Location Address4400 BAYOU BLVD STE 49APensacola, FL 32503-1909
Mailing Address1765 E Nine Mile Rd Ste 1-426Pensacola, FL 32514-5479 · (850) 741-4723 · Fax (850) 741-4579
Fax(850) 741-4579
Organization SubpartNo
Authorized OfficialAlicia ChenOwner · (850) 741-4723
Enumeration DateMay 27, 2024
NPPES CertifiedMay 27, 2024
NPI 1114767373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4400 BAYOU BLVD STE 49A, Pensacola, FL 32503

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

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 10D2042162

Wellness Pensacola PLLC · Pensacola, FL
Active · expires Jun 6, 2028
CLIA Number10D2042162
Laboratory TypePhysician Office
Certificate Effective DateJune 7, 2026
Certificate Expiration DateJune 6, 2028
Laboratory DirectorAlicia Chen
Laboratory Phone(850) 741-4723
Laboratory LocationWellness Pensacola PLLC4400 Bayou Blvd Suite 49A, Pensacola, FL 32503
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Internal Medicine
4400 BAYOU BLVD STE 49A
PENSACOLA, FL 32503

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 Wellness Pensacola PLLC's NPI number?

The NPI number for Wellness Pensacola PLLC is 1114767373. It was assigned to this organization in the NPPES registry on May 27, 2024.

Where is Wellness Pensacola PLLC located?

Wellness Pensacola PLLC is located at 4400 Bayou Blvd Ste 49A, Pensacola, FL 32503. The listed phone number is (850) 741-4723.

What is Wellness Pensacola PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Wellness Pensacola PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2042162) is associated with this NPI, valid through June 6, 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 Wellness Pensacola PLLC was last updated on May 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.