Organization Active NPI

Performance MD LLC

  • Family Nurse Practitioner
  • Panama City, FL
National Provider Identifier
1093626053
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
PERFORMANCE MD LLC
Practice address
15700 Panama City Beach Pkwy Unit 380
Panama City, FL 32413-5432
Phone
(850) 238-4445
Fax
(850) 238-4440
NPI assigned
Sep 16, 2026
Last updated
Sep 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Authorized official

Name
Tina Renee Bush
Title
Ceo
Phone
(850) 774-5659

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

15700 Panama City Beach Pkwy Unit 380
Panama City, FL 32413-5432

Mailing address

15700 Panama City Beach Pkwy Unit 380
Panama City Beach, FL 32413-5432
Phone (850) 238-4445

Other identifiers 1

IdentifierTypeStateIssuer
1427545318OtherFLNURSE PRACTITIONER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1789516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1093626053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15700 PANAMA CITY BEACH PKWY UNIT 380",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324135432",
            "telephone_number": "850-238-4445",
            "fax_number": "850-238-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15700 PANAMA CITY BEACH PKWY UNIT 380",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324135432",
            "telephone_number": "850-238-4445",
            "fax_number": "850-238-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-16",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-774-5659"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER",
            "identifier": "1427545318",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.