Organization Active NPI

Advanced Healthcare Associates

  • Family Nurse Practitioner
  • Panama City, FL
National Provider Identifier
1043858475
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ADVANCED HEALTHCARE ASSOCIATES
Practice address
1007 Jenks Ave
Panama City, FL 32401-2474
Phone
(850) 215-7920
Fax
(850) 848-9295
NPI assigned
Dec 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Heather R Taylor, APRNNPI 1770884298
Title
Owner
Phone
(850) 215-7920

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

1007 Jenks Ave
Panama City, FL 32401-2474

Mailing address

1007 Jenks Ave
Panama City, FL 32401-2474
Phone (850) 215-7920

Other names 1

  • Advanced Healthcare Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200506001068 FL Part B Supplier - Clinic/Group Practice 9335570407 Receives reassigned benefits from 3 practitioners
Practice locations: Panama City, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2180807Advanced Healthcare Associates1007 Jenks Ave, Panama City, FL 32401Certificate of waiverMar 19, 2028

National Provider Directory

National Provider Directory

Locations

2687 Jenks Ave
Panama City, FL 32405
Phone (850) 215-7920

1007 Jenks Ave
Panama City, FL 32401
Phone (850) 215-7920

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1043858475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012474",
            "telephone_number": "850-215-7920",
            "fax_number": "850-848-9295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012474",
            "telephone_number": "850-215-7920",
            "fax_number": "850-848-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEALTHCARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-16",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-215-7920",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Healthcare Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Healthcare Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.