Active NPI
Four Pillars Healthcare PLLC
- Family Nurse Practitioner
- Panama City, FL
National Provider Identifier
1184438731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- FOUR PILLARS HEALTHCARE PLLC
- Practice address
- 272 Forest Park Circle
Panama City, FL 32405 - Phone
- (850) 273-6131
- Fax
- (850) 404-5322
- NPI assigned
- Feb 4, 2025
- 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
- Ms. Samantha Pate, APRN, FNP-BC
- Title
- Manager
- Phone
- (850) 532-8485
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
272 Forest Park Circle
Panama City, FL 32405
Mailing address
272 Forest Park Circle
Panama City, FL 32405-4216
Phone (850) 273-6131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2319441 | Four Pillars Healthcare PLLC | Certificate of waiver | Feb 27, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Panama City, FL
- NPI 1720613979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747612800000",
"number": "1184438731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "272 FOREST PARK CIRCLE",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054216",
"telephone_number": "850-273-6131",
"fax_number": "850-407-5322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "272 FOREST PARK CIRCLE",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "32405",
"telephone_number": "850-273-6131",
"fax_number": "850-404-5322"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOUR PILLARS HEALTHCARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-04",
"last_updated": "2025-05-19",
"certification_date": "2025-05-09",
"status": "A",
"authorized_official_last_name": "PATE",
"authorized_official_first_name": "SAMANTHA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "850-532-8485",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "APRN, FNP-BC"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 May 19, 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.