Active NPI
Performance MD LLC
- Family Nurse Practitioner
- Panama City, FL
National Provider Identifier
1093626053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427545318 | Other | FL | NURSE PRACTITIONER |
National Provider Directory
National Provider DirectoryNPI 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.