| Generations Primary Care | |
|
4566 E Highway 20 Ste 105 Niceville FL 32578-8839 | |
| (850) 483-3313 | |
| (850) 483-3372 |
| Full Name | Generations Primary Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 4566 E Highway 20 Ste 105, Niceville, Florida |
| Authorized Official Name and Position | Ann Gwinnup (MANAGER) |
| Authorized Official Contact | 8502186382 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Generations Primary Care 402 Tiger Pointe Dr Niceville FL 32578-2982 Ph: (850) 218-6382 | Generations Primary Care 4566 E Highway 20 Ste 105 Niceville FL 32578-8839 Ph: (850) 483-3313 |
| NPI Number | 1457065203 |
|---|---|
| Provider Enumeration Date | 01/06/2023 |
| Last Update Date | 05/04/2023 |
| Certification Date | 05/04/2023 |
| Medicare PECOS PAC ID | 8527426345 |
|---|---|
| Medicare Enrollment ID | O20230626002542 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457065203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| Provider Name | Ann Kathryn Gwinnup |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447244223 PECOS PAC ID: 4688624125 Enrollment ID: I20070320000225 |
| Provider Name | Rachel Lauren White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669025078 PECOS PAC ID: 4385975614 Enrollment ID: I20191017000469 |
White Wilson Med Ctr-bwb FP Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 E Highway 20, Family Practice Department, Niceville, FL 32578 Phone: 850-897-4400 Fax: 850-897-0623 |
Rose Family Healthcare, LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4400 E Highway 20 Ste 207, Niceville, FL 32578 Phone: 850-806-2440 |
Emerald Coast Health Institute, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4566 E Highway 20, Niceville, FL 32578 Phone: 850-279-6949 Fax: 850-279-6957 |
Pat T. Tidwell MD PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4554 Highway 20 East, Niceville, FL 32578 Phone: 850-678-6735 Fax: 850-678-8078 |
Michael P Roberts MD PA Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1001 College Blvd W Ste D, Niceville, FL 32578 Phone: 850-389-8333 Fax: 850-279-6031 |
Mark E. Schroeder M.d.pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 College Blvd W, Suite C, Niceville, FL 32578 Phone: 850-678-3994 |