EVOLVE MEDICAL LLC
NPI 1427760800
Nurse Practitioner - Family in Pensacola, FL

Active since December 19, 2022CLIA 10D2340741 · Waiver
22 N TARRAGONA ST, PENSACOLA, FL 32502(850) 292-6623(850) 366-1333 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evolve Medical Llc NPPES

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

EVOLVE MEDICAL LLC (NPI 1427760800) is a healthcare organization registered as a family in Pensacola, Florida and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through March 22, 2028 and lists Kaitlin Graye, Ceo, as its authorized official.

NPPES Registry Identity

NPI1427760800
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameEVOLVE MEDICAL LLC
Location Address22 N TARRAGONA STPensacola, FL 32502-6063
Mailing Address1716 Donegal DrCantonment, FL 32533-8997 · (850) 207-9086
Fax(850) 366-1333
Organization SubpartNo
Authorized OfficialKaitlin GrayeCeo · (850) 207-9086
Enumeration DateDecember 19, 2022
NPPES CertifiedDecember 17, 2022
NPI 1427760800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
22 N TARRAGONA ST, Pensacola, FL 32502

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 10D2340741

Evolve Medical, LLC · Pensacola, FL
Active · expires Mar 22, 2028
CLIA Number10D2340741
Laboratory TypePhysician Office
Certificate Effective DateMarch 23, 2026
Certificate Expiration DateMarch 22, 2028
Laboratory DirectorKaitlin Graye
Laboratory Phone(850) 741-2262
Laboratory LocationEvolve Medical, LLC24 N Tarragona Street, Pensacola, FL 32502
CLIA data matches this NPI record on: Name
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.

Nurse Practitioner (Family)
22 N TARRAGONA ST
PENSACOLA, FL 32502

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 Evolve Medical LLC's NPI number?

The NPI number for Evolve Medical LLC is 1427760800. It was assigned to this organization in the NPPES registry on December 19, 2022.

Where is Evolve Medical LLC located?

Evolve Medical LLC is located at 22 N Tarragona St, Pensacola, FL 32502. The listed phone number is (850) 292-6623.

What is Evolve Medical LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Evolve Medical LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2340741) is associated with this NPI, valid through March 22, 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 Evolve Medical LLC was last updated on December 19, 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.