PRIMARY CARE SERVICES AT AZALEA TRACE
NPI 1215326335
Internal Medicine in Pensacola, FL

Active since January 13, 2015CLIA 10D2090232 · Waiver
10100 HILLVIEW DRIVE, PENSACOLA, FL 32514(850) 478-5200(850) 474-0558 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Primary Care Services At Azalea Trace NPPES

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

PRIMARY CARE SERVICES AT AZALEA TRACE (NPI 1215326335) is a healthcare organization registered as an internal medicine in Pensacola, Florida and active in the NPI registry since January 2015. The organization holds a CLIA Waiver certificate valid through January 15, 2027 and lists Susan Ahern, Svp, Cfo, as its authorized official.

NPPES Registry Identity

NPI1215326335
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameACTS SIGNATURE COMMUNITY SERVICES, INC.
Location Address10100 HILLVIEW DRIVEPensacola, FL 32514
Mailing Address420 Delaware DrFort Washington, PA 19034-2711 · (267) 787-4097 · Fax (215) 699-2065
Fax(850) 474-0558
Organization SubpartNo
Authorized OfficialSusan AhernSvp, Cfo · (215) 661-8330
Enumeration DateJanuary 13, 2015
Last NPPES UpdateFebruary 20, 2024
NPPES CertifiedFebruary 20, 2024
NPI 1215326335 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.
10100 HILLVIEW DRIVE, Pensacola, FL 32514

Other Names 1

Doing Business AsPrimary Care Services At Azalea Trace

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 10D2090232

Primary Care Services At Azalea Trace · Pensacola, FL
Active · expires Jan 15, 2027
CLIA Number10D2090232
Laboratory TypePhysician Office
Certificate Effective DateJanuary 16, 2025
Certificate Expiration DateJanuary 15, 2027
Laboratory DirectorKerry B. Peete
Laboratory Phone(850) 478-5200
Laboratory LocationPrimary Care Services At Azalea Trace10100 Hillview Drive, Pensacola, FL 32514
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.

Skilled Nursing Facility
10100 HILLVIEW DRIVE
PENSACOLA, FL 32514

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 Acts Signature Community Services, Inc.'s NPI number?

The NPI number for Acts Signature Community Services, Inc. is 1215326335. It was assigned to this organization in the NPPES registry on January 13, 2015. The provider is doing business as Primary Care Services At Azalea Trace.

Where is Acts Signature Community Services, Inc. located?

Acts Signature Community Services, Inc. is located at 10100 Hillview Drive, Pensacola, FL 32514. The listed phone number is (850) 478-5200.

What is Acts Signature Community Services, Inc.'s specialty?

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

Does Acts Signature Community Services, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2090232) is associated with this NPI, valid through January 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Acts Signature Community Services, Inc. was last updated on February 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.