PRIMARY CARE CENTER OF LYNN HAVEN
NPI 1700803624
Internal Medicine in Lynn Haven, FL
About Primary Care Center Of Lynn Haven NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIMARY CARE CENTER OF LYNN HAVEN (NPI 1700803624) is a healthcare organization registered as an internal medicine in Lynn Haven, Florida and active in the NPI registry since July 2006. The organization lists Asim J Khattak, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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)
Primary Care Center Of Lynn Haven 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 Primary Care Center Of Lynn Haven, which bills Medicare for the services they deliver. Of these, 2 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 Primary Care Center Of Lynn Haven's NPI number?
The NPI number for Primary Care Center Of Lynn Haven is 1700803624. It was assigned to this organization in the NPPES registry on July 16, 2006.
Where is Primary Care Center Of Lynn Haven located?
Primary Care Center Of Lynn Haven is located at 825 Florida Ave, Lynn Haven, FL 32444. The listed phone number is (850) 265-3686.
What is Primary Care Center Of Lynn Haven's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Primary Care Center Of Lynn Haven enrolled in Medicare?
Yes. Primary Care Center Of Lynn Haven is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Primary Care Center Of Lynn Haven?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Primary Care Center Of Lynn Haven, in Internal 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, 2 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 Primary Care Center Of Lynn Haven was last updated on October 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Primary Care Center Of Lynn Haven · NPI 1700803624
Internal Medicine organization in Lynn Haven, Florida. Organization record, active in the CMS NPPES registry since July 16, 2006.
## Identity
- **NPI:** 1700803624 (Entity type: Organization)
- **Enumerated:** July 16, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Asim Khattak, OWNER
## Practice location
- **Address:** 825 FLORIDA AVE, Lynn Haven, FL 32444-2335
- **Phone:** (850) 265-3686 · **Fax:** (850) 271-5665
## 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), Internal Medicine (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 26, 2011
- **Other identifiers:** Other 1700803624 (FL); Medicare PIN AB975 (FL); Medicaid 276096700 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1700803624) · Data from the CMS NPPES public registry.