SOUTHERN PRACTITIONER
NPI 1326556200
Nurse Practitioner - Family in Pensacola, FL
About Southern Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN PRACTITIONER (NPI 1326556200) is a healthcare organization registered as a family in Pensacola, Florida and active in the NPI registry since January 2018. The organization lists Jennifer Prince, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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)
Southern Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Southern Practitioner, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Practitioner's NPI number?
The NPI number for Southern Practitioner is 1326556200. It was assigned to this organization in the NPPES registry on January 13, 2018.
Where is Southern Practitioner located?
Southern Practitioner is located at 15 W Maxwell St Ste 148, Pensacola, FL 32501. The listed phone number is (850) 434-0077.
What is Southern Practitioner's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Southern Practitioner enrolled in Medicare?
Yes. Southern Practitioner is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Practitioner?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Southern Practitioner, in Emergency Medicine and Nurse Practitioner. 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. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Southern Practitioner was last updated on November 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Southern Practitioner · NPI 1326556200
Family organization in Pensacola, Florida. Organization record, active in the CMS NPPES registry since January 13, 2018.
## Identity
- **NPI:** 1326556200 (Entity type: Organization)
- **Enumerated:** January 13, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Jennifer Prince, OWNER
## Practice location
- **Address:** 15 W MAXWELL ST, STE 148, Pensacola, FL 32501-1717
- **Phone:** (850) 434-0077 · **Fax:** (850) 434-0220
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Emergency Medicine (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 22, 2022
- **Other identifiers:** Medicaid 111684900 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1326556200) · Data from the CMS NPPES public registry.