Prestige Addiction Treatment Center

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

PRESTIGE ADDICTION TREATMENT CENTER

Practice address

340 W 23Rd St Ste C
Panama City, FL 32405-4541

Phone

(850) 640-1554

NPI assigned

Feb 12, 2025

Organization subpart

No

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

Authorized official

Name

Brian Norris

Title

Owner

Phone

(985) 377-8909

Specialties & licenses 4

Addresses

Locations

Practitioners 3

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

• Lidia Nenciu, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Milton, FL
  • NPI 1477020337
  NPD (past)
• Thomas D Riney Jr., MD

  • Addiction Medicine (Internal Medicine) Physician
  • Pace, FL
  • NPI 1457341307
  NPD (past)
• James Stephen Sims, MD

  • Neonatal-Perinatal Medicine Physician
  • Pensacola, FL
  • NPI 1447240395
  NPD (past)

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1255146569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 CAROLINE ST",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704483707",
            "telephone_number": "985-377-8909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 W 23RD ST STE C",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054541",
            "telephone_number": "850-640-1554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 S Navy Blvd",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325073603",
            "country_code": "US",
            "telephone_number": "850-361-1502",
            "fax_number": "850-361-1503",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "857 Downtowner Blvd Ste G",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366095420",
            "country_code": "US",
            "telephone_number": "251-341-7292",
            "fax_number": "251-341-7690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRESTIGE ADDICTION TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "NORRIS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-377-8909"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Lynn Preisser, PA-C
• Premier Allergist of Florida LLC
• Daniel Ray Prentice, PA
• Prescribed Pediatric Extended Care, Inc
• Gregory A Presser, MD
• Prestigious Care of North West Florida
• Kara D Price-Williams, MS
• Brianna Price
• Hannah Price
• Joseph Benjamin Price, LMHC

• Addiction Medicine (Family Medicine) Physician in Panama City, FL
• Providers in Panama City, FL by specialty
• Addiction Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.