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DBA PENSACOLA PRIMARY CARE, INC.-NINE MILE
NPI 1255320636
Family Medicine in Pensacola, FL

Active since October 18, 2005CLIA 10D0886056 · Waiver
1190 E NINE MILE RD, PENSACOLA, FL 32514(850) 474-8771(850) 479-9180 Get Directions Write a Review

NPPES record last updated: November 7, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dba Pensacola Primary Care, Inc.-nine Mile NPPES

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

DBA PENSACOLA PRIMARY CARE, INC.-NINE MILE (NPI 1255320636) is a healthcare organization registered as a family medicine in Pensacola, Florida and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through May 11, 2028 and lists Mickey Pickler, Director, as its authorized official.

NPPES Registry Identity

NPI1255320636
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePENSACOLA PRIMARY CARE INC
Location Address1190 E NINE MILE RDPensacola, FL 32514-1651
Mailing Address1190 E Nine Mile RdPensacola, FL 32514-1651 · (850) 474-8771 · Fax (850) 479-9180
Phone(850) 474-8771
Fax(850) 479-9180
Organization SubpartNo
Authorized OfficialMickey PicklerDirector · (850) 523-2117
Enumeration DateOctober 18, 2005
Last NPPES UpdateNovember 7, 2007
✔ NPI 1255320636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1190 E NINE MILE RD, Pensacola, FL 32514
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Other Names 1

Doing Business AsDba Pensacola Primary Care, Inc.-nine Mile

Other Identifiers 1

Medicare ID-Type UnspecifiedK2580FL

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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 10D0886056

Pensacola Primary Care Inc · Pensacola, FL
Active · expires May 11, 2028
CLIA Number10D0886056
Laboratory TypePhysician Office
Certificate Effective DateMay 12, 2026
Certificate Expiration DateMay 11, 2028
Laboratory DirectorEdward Schuka
Laboratory Phone(850) 474-8771
Laboratory LocationPensacola Primary Care Inc1190 E Nine Mile Rd, 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 13

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

ANGELIA BRIGHAM APRN
Nurse Practitioner (Family)
1190 E NINE MILE RD
PENSACOLA, FL 32514
Escambia County (850) 494-4600
INTELLIRAD IMAGING, LLC
Radiology (Diagnostic Radiology)
1190 E NINE MILE RD
PENSACOLA, FL 32514
Escambia County (850) 494-4600
MELISA CLEMENTS
Nurse Practitioner
1190 E NINE MILE RD
PENSACOLA, FL 32514
Escambia County (850) 477-0401
MR. REX DELAUNE MD
Family Medicine
1190 E NINE MILE RD
PENSACOLA, FL 32514
Escambia County (850) 474-8771
DR. EDWARD ANTHONY SCHUKA MD
Family Medicine
1190 E NINE MILE RD
PENSACOLA, FL 32514
Escambia County (850) 494-4600
MR. MICHAEL E KASABIAN DO
Family Medicine
1190 E NINE MILE RD
PENSACOLA, FL 32514
Escambia County (850) 474-8771
MRS. LORRIE W. KNAPP ARNP
Nurse Practitioner
1190 E NINE MILE RD, WEST FLORIDA SENIOR HEALTH SERVICES
PENSACOLA, FL 32514
Escambia County (850) 477-0401
PHILIP A HAM JR. DO
Family Medicine
1190 E NINE MILE RD
PENSACOLA, FL 32514
Escambia County (850) 474-8771

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 Pensacola Primary Care Inc's NPI number?

The NPI number for Pensacola Primary Care Inc is 1255320636. It was assigned to this organization in the NPPES registry on October 18, 2005. The provider is doing business as Dba Pensacola Primary Care, Inc.-Nine Mile.

Where is Pensacola Primary Care Inc located?

Pensacola Primary Care Inc is located at 1190 E Nine Mile Rd, Pensacola, FL 32514. The listed phone number is (850) 474-8771.

What is Pensacola Primary Care Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Pensacola Primary Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0886056) is associated with this NPI, valid through May 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pensacola Primary Care Inc accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Pensacola Primary Care 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 Pensacola Primary Care Inc was last updated on November 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.