PRIMARY CARE OF THE GULF COAST LLC
NPI 1609497726
Nurse Practitioner - Primary Care in Pensacola, FL
About Primary Care Of The Gulf Coast Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIMARY CARE OF THE GULF COAST LLC (NPI 1609497726) is a healthcare organization registered as a primary care in Pensacola, Florida and active in the NPI registry since April 2020. The organization holds a CLIA Waiver certificate valid through July 15, 2028 and lists Jodilyn Grace Holz, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Group Practice 1
Accepted Insurance
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 Of The Gulf Coast Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Primary Care Of The Gulf Coast LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Pensacola, FL 32504
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 10D2347369
Primary Care Of The Gulf Coast Dba Holz Family Practice · 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 Primary Care Of The Gulf Coast LLC's NPI number?
The NPI number for Primary Care Of The Gulf Coast LLC is 1609497726. It was assigned to this organization in the NPPES registry on April 29, 2020.
Where is Primary Care Of The Gulf Coast LLC located?
Primary Care Of The Gulf Coast LLC is located at 600 University Office Blvd Ste 13A, Pensacola, FL 32504. The listed phone number is (850) 254-4530.
What is Primary Care Of The Gulf Coast LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Primary Care Of The Gulf Coast LLC enrolled in Medicare?
Yes. Primary Care Of The Gulf Coast LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Primary Care Of The Gulf Coast LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Primary Care Of The Gulf Coast LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Primary Care Of The Gulf Coast LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2347369) is associated with this NPI, valid through July 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Primary Care Of The Gulf Coast LLC accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Primary Care Of The Gulf Coast LLC 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 Primary Care Of The Gulf Coast LLC was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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 Of The Gulf Coast Llc · NPI 1609497726
Primary Care organization in Pensacola, Florida. Organization record, active in the CMS NPPES registry since April 29, 2020.
## Identity
- **NPI:** 1609497726 (Entity type: Organization)
- **Enumerated:** April 29, 2020
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Organization subpart:** No
- **Authorized official:** Jodilyn Holz, OWNER
## Practice location
- **Address:** 600 UNIVERSITY OFFICE BLVD STE 13A, Pensacola, FL 32504-6247
- **Phone:** (850) 254-4530 · **Fax:** (850) 366-9755
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 6, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1609497726) · Data from the CMS NPPES public registry.