| Northwest Florida Healthcare, Inc | |
|
1360 Brickyard Rd Chipley FL 32428-6303 | |
| (850) 638-1610 | |
| (850) 638-5764 |
| Full Name | Northwest Florida Healthcare, Inc |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 1360 Brickyard Rd, Chipley, Florida |
| Authorized Official Name and Position | Marcey Lynn Morgan (CFO) |
| Authorized Official Contact | 8504158127 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Florida Healthcare, Inc 1360 Brickyard Rd Chipley FL 32428-6303 Ph: (850) 638-1610 | Northwest Florida Healthcare, Inc 1360 Brickyard Rd Chipley FL 32428-6303 Ph: (850) 638-1610 |
| NPI Number | 1336163708 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 01/03/2020 |
| Medicare PECOS PAC ID | 2668363771 |
|---|---|
| Medicare Enrollment ID | O20050627000512 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336163708 | NPI | - | NPPES |
| 010190700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 282NC0060X | General Acute Care Hospital - Critical Access | 4005 (Florida) | Primary |
| Provider Name | Leisa Hill Bailey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851314330 PECOS PAC ID: 2163328378 Enrollment ID: I20031209000726 |
| Provider Name | Patrick F.o Conrad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205889524 PECOS PAC ID: 2567369630 Enrollment ID: I20031217000064 |
| Provider Name | Paul D Hart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629021415 PECOS PAC ID: 4981597283 Enrollment ID: I20040202001009 |
| Provider Name | Kongsak Chantornsaeng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942250659 PECOS PAC ID: 9537051784 Enrollment ID: I20040325000266 |
| Provider Name | Christopher D Tanner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932151792 PECOS PAC ID: 7315937075 Enrollment ID: I20040514000400 |
| Provider Name | Paula S Wadbrook |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124079157 PECOS PAC ID: 9335127174 Enrollment ID: I20040709000126 |
| Provider Name | Sharon M Traylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558560243 PECOS PAC ID: 1850369869 Enrollment ID: I20040917000838 |
| Provider Name | Claudia S Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578678835 PECOS PAC ID: 0749259703 Enrollment ID: I20040928000228 |
| Provider Name | Gabriel E Berry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689697310 PECOS PAC ID: 3375503147 Enrollment ID: I20041015000358 |
| Provider Name | Annette G Porter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184647810 PECOS PAC ID: 7113981275 Enrollment ID: I20041117001157 |
| Provider Name | Samuel Edward Ward |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982661757 PECOS PAC ID: 2062401169 Enrollment ID: I20050419000256 |
| Provider Name | Amer R Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932207461 PECOS PAC ID: 0244265932 Enrollment ID: I20051019000645 |
| Provider Name | James C Beggs |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1396705737 PECOS PAC ID: 0446276141 Enrollment ID: I20051021000510 |
| Provider Name | Christy E Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376597336 PECOS PAC ID: 1850305962 Enrollment ID: I20060127000514 |
| Provider Name | Gerald G Lachance |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1437111473 PECOS PAC ID: 4587679535 Enrollment ID: I20060213000093 |
| Provider Name | Wendy M Corbin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598898835 PECOS PAC ID: 9436250016 Enrollment ID: I20070726000416 |
| Provider Name | Chris S Fox |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093812638 PECOS PAC ID: 6608894605 Enrollment ID: I20071205000484 |
| Provider Name | Jeffery T Horton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396997193 PECOS PAC ID: 3678639473 Enrollment ID: I20090303000467 |
| Provider Name | Ronald W Holland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275701658 PECOS PAC ID: 8224115811 Enrollment ID: I20100126000182 |
| Provider Name | John B Griffin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518019249 PECOS PAC ID: 9335232644 Enrollment ID: I20101117001266 |
| Provider Name | Dean Post |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629270632 PECOS PAC ID: 3072601186 Enrollment ID: I20101129000987 |
| Provider Name | Nathanael L Hawkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215104526 PECOS PAC ID: 4183811649 Enrollment ID: I20101209000378 |
| Provider Name | Leann Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407140478 PECOS PAC ID: 7810175973 Enrollment ID: I20110621000344 |
| Provider Name | Michael D Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235386004 PECOS PAC ID: 6800066119 Enrollment ID: I20110824000311 |
| Provider Name | Zachary W Dickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114217221 PECOS PAC ID: 3779753082 Enrollment ID: I20110824000355 |
| Provider Name | Paul N Motta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467609198 PECOS PAC ID: 2860667052 Enrollment ID: I20111216000602 |
| Provider Name | Natalie D Lambie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215142559 PECOS PAC ID: 8921150483 Enrollment ID: I20120821000842 |
| Provider Name | Kristen W Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518363282 PECOS PAC ID: 6406170224 Enrollment ID: I20150126001627 |
| Provider Name | Bradley J Strickland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497145858 PECOS PAC ID: 8921325499 Enrollment ID: I20150320001111 |
| Provider Name | Edwin P Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205824661 PECOS PAC ID: 7911225073 Enrollment ID: I20150421002278 |
| Provider Name | Mahendra R Sheth |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1538186978 PECOS PAC ID: 3274427596 Enrollment ID: I20160607000373 |
| Provider Name | John D Byrd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073932828 PECOS PAC ID: 1951620707 Enrollment ID: I20171025001823 |
| Provider Name | Cheava L Jacks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598960544 PECOS PAC ID: 5991833089 Enrollment ID: I20180205002299 |
| Provider Name | Khaled Al-farawi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669887139 PECOS PAC ID: 2567681430 Enrollment ID: I20180313000547 |
| Provider Name | Jared M Grantham |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134464506 PECOS PAC ID: 5193979573 Enrollment ID: I20180316001671 |
| Provider Name | Mary C Wahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508370495 PECOS PAC ID: 7416203351 Enrollment ID: I20180706000427 |
| Provider Name | Clifton Shane Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407205156 PECOS PAC ID: 2860777471 Enrollment ID: I20190118001348 |
| Provider Name | Deborah Levens Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134683824 PECOS PAC ID: 6901132935 Enrollment ID: I20190729001143 |
| Provider Name | Rick M Weber |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1255305041 PECOS PAC ID: 7719086222 Enrollment ID: I20191010002441 |
| Provider Name | Candace Victoria Donaldson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235791047 PECOS PAC ID: 7719319128 Enrollment ID: I20191122000694 |
| Provider Name | Michelle E Newton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518505684 PECOS PAC ID: 6204263254 Enrollment ID: I20200303002649 |
| Provider Name | Patrick F Lux |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023449394 PECOS PAC ID: 0244453330 Enrollment ID: I20200819000587 |
| Provider Name | Amanda K Worthington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700480340 PECOS PAC ID: 0244642981 Enrollment ID: I20201222000519 |
| Provider Name | Justin D Harrelson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528505203 PECOS PAC ID: 3173800240 Enrollment ID: I20210202002310 |
| Provider Name | George L Sanchez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588741037 PECOS PAC ID: 9537573399 Enrollment ID: I20210208000325 |
| Provider Name | Pamela R Defleron |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831460765 PECOS PAC ID: 4284892878 Enrollment ID: I20211214000385 |
| Provider Name | Wesley Neal Seabolt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962664623 PECOS PAC ID: 3971787151 Enrollment ID: I20220629002860 |
| Provider Name | Robert D Garrett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659990901 PECOS PAC ID: 5597181750 Enrollment ID: I20230223000512 |
P&g Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 925 Carlisle Rd, Chipley, FL 32428 Phone: 850-638-9399 | |
Robert W Snare Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1187 Main St, Ste 3, Chipley, FL 32428 Phone: 850-638-4233 | |
Southern Family Healthcare, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 877 3rd St Ste 4, Chipley, FL 32428 Phone: 850-638-4383 Fax: 850-415-6783 | |
The Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1351 South Blvd, Chipley, FL 32428 Phone: 850-638-1230 Fax: 850-638-9766 | |
Panhandle Family Medicine Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 877 3rd St, Suite 4, Chipley, FL 32428 Phone: 850-638-4555 Fax: 850-638-9190 | |
James B Craven Md Pa Rhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1351 South Blvd, Chipley, FL 32428 Phone: 850-638-1230 Fax: 850-638-9766 | |
Vernon Family Health Of Chipley Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 719 7th St Ste 2, Chipley, FL 32428 Phone: 850-676-4287 Fax: 850-676-4292 |