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PENSACOLA PRIMARY CARE INC
NPI 1982643169
Family Medicine in Pensacola, FL

Active since June 05, 2006
2120 EAST JOHNSON AVENUE, SUITE 103, PENSACOLA, FL 32514(850) 494-3965(850) 494-3966 Get Directions Write a Review

NPPES record last updated: October 15, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pensacola Primary Care Inc NPPES

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

PENSACOLA PRIMARY CARE INC (NPI 1982643169) is a healthcare organization registered as a family medicine in Pensacola, Florida and active in the NPI registry since June 2006. The organization lists Mickey Pickler, Vp, as its authorized official.

NPPES Registry Identity

NPI1982643169
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePENSACOLA PRIMARY CARE INC
Location Address2120 EAST JOHNSON AVENUE, SUITE 103Pensacola, FL 32514-6050
Mailing Address3 Maryland Farms, Suite 250Brentwood, TN 37027-5005 · (800) 661-3365 · Fax (866) 689-4661
Phone(850) 494-3965
Fax(850) 494-3966
Organization SubpartNo
Authorized OfficialMickey PicklerVp · (850) 523-2117
Enumeration DateJune 5, 2006
Last NPPES UpdateOctober 15, 2008
✔ NPI 1982643169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedPediatricsTaxonomy 208000000X
2120 EAST JOHNSON AVENUE, Pensacola, FL 32514
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Other Identifiers 2

Medicaid261180500FL
Medicare PINK2580FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.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)

Pensacola Primary Care Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

28

Medicare enrollment records show 28 clinicians reassign Medicare billing to Pensacola Primary Care Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 26 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Nurse Practitioner11
Family Practice9
Internal Medicine5
Pediatric Medicine3

Nearest to this location (20)

See all 28
Laura Barber, M.D.
Pediatric Medicine
NPI 1750537007
2120 E JOHNSON AVE SUITE 103
Pensacola, FL 32514
(850) 494-3965
✔ PECOSSame address
Tiffany Ramos, MD
Pediatric Medicine
NPI 1831489806
2120 E JOHNSON AVE SUITE 103
Pensacola, FL 32514
(850) 494-3965
✔ PECOSSame address
Ali Tariq, M.D
Internal Medicine
NPI 1376924308
8383 N DAVIS HWY
Pensacola, FL 32514
(850) 494-3212
✔ PECOS✔ Accepts Medicare0.2 mi
Abeer Abutaleb, M.D.
Internal Medicine
NPI 1356395008
8383 N DAVIS HWY
Pensacola, FL 32514
(850) 497-3626
✔ PECOS✔ Accepts Medicare0.2 mi
Stephanie Bello, APRN
Nurse Practitioner
NPI 1518727684
1190 E NINE MILE RD
Pensacola, FL 32514
(850) 494-4600
✔ PECOS✔ Accepts Medicare1.7 mi
Rex Delaune, MD
Family Practice
NPI 1194710012
1190 E NINE MILE RD
Pensacola, FL 32514
(850) 474-8771
✔ PECOS1.7 mi
Phillip Ham, DO
Family Practice
NPI 1417960162
1190 E NINE MILE RD
Pensacola, FL 32514
(850) 474-8771
✔ PECOS✔ Accepts Medicare1.7 mi
Edward Schuka, MD
Family Practice
NPI 1194712554
1190 E NINE MILE RD
Pensacola, FL 32514
(850) 494-4600
✔ PECOS✔ Accepts Medicare1.7 mi
Angelia Brigham, APRN
Nurse Practitioner
NPI 1023817194
1190 E NINE MILE RD
Pensacola, FL 32514
(850) 494-4600
✔ PECOS✔ Accepts Medicare1.7 mi
Serda Hawthorne, MD
Family Practice
NPI 1659507986
1190 E NINE MILE RD
Pensacola, FL 32514
(850) 857-4040
✔ PECOS✔ Accepts Medicare1.7 mi
Michael Kasabian, DO
Family Practice
NPI 1275527293
1190 E NINE MILE RD
Pensacola, FL 32514
(850) 474-8771
✔ PECOS✔ Accepts Medicare1.7 mi
Carla Tillery, MD
Internal Medicine
NPI 1770501280
1190 E NINE MILE RD
Pensacola, FL 32514
(850) 474-8771
✔ PECOS1.7 mi
Tonya Freeman, ARNP
Nurse Practitioner
NPI 1982673018
1619 CREIGHTON RD STE 1
Pensacola, FL 32504
(850) 444-4700
✔ PECOS✔ Accepts Medicare1.7 mi
Sarah Waite, MD
Pediatric Medicine
NPI 1740597335
5190 BAYOU BLVD STE 7
Pensacola, FL 32503
(850) 478-1100
✔ PECOS2.9 mi
Joumana Sarkhoche, MD
Family Practice
NPI 1083619068
5500 N DAVIS HWY STE 3
Pensacola, FL 32503
(850) 288-5500
✔ PECOS✔ Accepts Medicare3.0 mi
Richard Hawthorne, D.O.
Family Practice
NPI 1427355601
6431 N W ST
Pensacola, FL 32505
(850) 474-3660
✔ PECOS✔ Accepts Medicare3.6 mi
Neel Gandhi, MD
Family Practice
NPI 1851041560
4910 N 12TH AVE
Pensacola, FL 32504
(850) 494-4600
✔ PECOS✔ Accepts Medicare3.7 mi
Holley Smith, APRN
Nurse Practitioner
NPI 1992696835
4910 N 12TH AVE
Pensacola, FL 32504
(850) 494-4600
✔ PECOS✔ Accepts Medicare3.7 mi
Amy Villachica, APRN, FNP-C
Nurse Practitioner
NPI 1558089920
4910 N 12TH AVE
Pensacola, FL 32504
(850) 494-4600
✔ PECOS✔ Accepts Medicare3.7 mi
Sue-Ann-Marie Tracy, APRN, FNP-BC
Nurse Practitioner
NPI 1144956418
6431 N W ST
Pensacola, FL 32505
(850) 494-4600
✔ PECOS✔ Accepts Medicare4.9 mi
See all 28 clinicians

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 Pensacola Primary Care Inc's NPI number?

The NPI number for Pensacola Primary Care Inc is 1982643169. It was assigned to this organization in the NPPES registry on June 5, 2006.

Where is Pensacola Primary Care Inc located?

Pensacola Primary Care Inc is located at 2120 East Johnson Avenue Suite 103, Pensacola, FL 32514. The listed phone number is (850) 494-3965.

What is Pensacola Primary Care Inc's specialty?

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

Is Pensacola Primary Care Inc enrolled in Medicare?

Yes. Pensacola Primary Care Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pensacola Primary Care Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 28 clinicians in 4 Medicare specialties reassign their Medicare billing to Pensacola Primary Care Inc. 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 (11), Family Practice (9) and Internal Medicine (5). Of these, 2 practice at this address and 26 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pensacola Primary Care Inc accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 1 other insurer list Pensacola Primary Care Inc 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 Pensacola Primary Care Inc was last updated on October 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.