PRIMARY CARE SERVICES AT AZALEA TRACE
NPI 1215326335
Internal Medicine in Pensacola, FL
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
Specialties & Licenses
Other Names 1
Group Practice 1
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 Services At Azalea Trace is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
17Medicare enrollment records show 17 clinicians reassign Medicare billing to Primary Care Services At Azalea Trace, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (17)
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 10D2090232
Primary Care Services At Azalea Trace · Pensacola, 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 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.
Is Acts Signature Community Services, Inc. enrolled in Medicare?
Yes. Acts Signature Community Services, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Acts Signature Community Services, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 2 Medicare specialties reassign their Medicare billing to Acts Signature Community Services, 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 (16) and Clinical Social Worker (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 Services At Azalea Trace · NPI 1215326335
Internal Medicine organization in Pensacola, Florida. Organization record, active in the CMS NPPES registry since January 13, 2015.
## Identity
- **NPI:** 1215326335 (Entity type: Organization)
- **Enumerated:** January 13, 2015
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Legal business name:** Acts Signature Community Services, Inc.
- **Organization subpart:** No
- **Authorized official:** Susan Ahern, SVP, CFO
## Practice location
- **Address:** 10100 HILLVIEW DRIVE, Pensacola, FL 32514
- **Phone:** (850) 478-5200 · **Fax:** (850) 474-0558
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 17 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (16), Clinical Social Worker (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 20, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1215326335) · Data from the CMS NPPES public registry.