GULF COAST MOBILE MEDICAL CARE
NPI 1689330854
Family Medicine in Pensacola Beach, FL

Active since November 12, 2021
471 FORT PICKENS RD, PENSACOLA BEACH, FL 32561(850) 462-3131(877) 370-4373 Get Directions Write a Review

NPPES record last updated: February 23, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 23, 2023, Dec 22, 2022, Jan 4, 2022 and 1 more (4 updates tracked since 2021).

About Gulf Coast Mobile Medical Care NPPES

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

GULF COAST MOBILE MEDICAL CARE (NPI 1689330854) is a healthcare organization registered as a family medicine in Pensacola Beach, Florida and active in the NPI registry since November 2021. The organization lists Jake Wallstedt, Partner, as its authorized official.

NPPES Registry Identity

NPI1689330854
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGULF COAST MOBILE MEDICAL CARE LLC
Location Address471 FORT PICKENS RDPensacola Beach, FL 32561-2013
Mailing Address471 Fort Pickens RdGulf Breeze, FL 32561-2013
Fax(877) 370-4373
Organization SubpartNo
Authorized OfficialJake WallstedtPartner · (615) 517-6009
Enumeration DateNovember 12, 2021
Last NPPES UpdateFebruary 23, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2023
✔ NPI 1689330854 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.
471 FORT PICKENS RD, Pensacola Beach, FL 32561

Other Names 1

Doing Business AsGulf Coast Mobile Medical Care

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gulf Coast Mobile Medical Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Gulf Coast Mobile Medical Care, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Nurse Practitioner
NPI 1407516040
471 FORT PICKENS RD
Gulf Breeze, FL 32561
(850) 462-3131
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1457008997
2744 GULF BREEZE PARKWAY
Gulf Breeze, FL 32563
(850) 934-5713
✔ PECOS✔ Accepts Medicare4.6 mi
Nurse Practitioner
NPI 1699491498
8333 N DAVIS HWY
Pensacola, FL 32514
(850) 512-3482
✔ PECOS13 mi
Nurse Practitioner
NPI 1649205659
12385 SORRENTO RD STE A4
Pensacola, FL 32507
(850) 213-6522
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1063829315
1720 2ND AVE S FACULTY OFFICE TOWER STE 1038
Birmingham, AL 35924
(205) 934-9879
✔ PECOS✔ Accepts Medicare219 mi
Emergency Medicine
NPI 1851584346
5825 AIRLINE HWY
Baton Rouge, LA 70805
(225) 358-3940
✔ PECOS238 mi
Nurse Practitioner
NPI 1114582228
1305 S SUBER RD
Greer, SC 29650
(864) 989-4609
✔ PECOS✔ Accepts Medicare425 mi
Nurse Practitioner
NPI 1659777985
1064 STATE ROUTE 28 STE F
Milford, OH 45150
(513) 981-4050
✔ PECOS✔ Accepts Medicare633 mi

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 Gulf Coast Mobile Medical Care LLC's NPI number?

The NPI number for Gulf Coast Mobile Medical Care LLC is 1689330854. It was assigned to this organization in the NPPES registry on November 12, 2021. The provider is doing business as Gulf Coast Mobile Medical Care.

Where is Gulf Coast Mobile Medical Care LLC located?

Gulf Coast Mobile Medical Care LLC is located at 471 Fort Pickens Rd, Pensacola Beach, FL 32561. The listed phone number is (850) 462-3131.

What is Gulf Coast Mobile Medical Care LLC's specialty?

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

Is Gulf Coast Mobile Medical Care LLC enrolled in Medicare?

Yes. Gulf Coast Mobile Medical Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gulf Coast Mobile Medical Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Gulf Coast Mobile Medical Care 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. The largest specialties are Nurse Practitioner (7) and Emergency Medicine (1). Of these, 1 practice at this address and 2 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 Gulf Coast Mobile Medical Care LLC was last updated on February 23, 2023. 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.