Pea Ridge Family Care Center Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PEA RIDGE FAMILY CARE CENTER INC

Practice address

5500 N Davis Hwy Ste 2
Pensacola, FL 32503-2063

Phone

(850) 475-0867

Fax

(850) 475-0895

NPI assigned

Dec 16, 2005

Organization subpart

No

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

Authorized official

Name

Purushottam K. Garg, MDNPI 1578549085

Title

Owner

Phone

(850) 475-0867

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Purushottam K. Garg, MD

  • Family Medicine Physician
  • Pensacola, FL
  • NPI 1578549085
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785456000000",
    "number": "1306822911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 N DAVIS HWY STE 2",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032063",
            "telephone_number": "850-475-0867",
            "fax_number": "850-475-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 N DAVIS HWY STE 2",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032063",
            "telephone_number": "850-475-0867",
            "fax_number": "850-475-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEA RIDGE FAMILY CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-16",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A",
        "authorized_official_last_name": "GARG",
        "authorized_official_first_name": "PURUSHOTTAM",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-475-0867",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251128200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "38616",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Christopher Payne
• Brianna Marie Payne
• Debbie Payne
• Meghan Burns Payne, FNP
• Patrea Payne, NP
• Melanie Joy Peacher, LDN
• Jordan Nicholas Peacock, PHYSICIAN ASSISTANT
• Abagayle Grace Peaden, BSN, RN
• Peaklife Medical Group LLC
• Gina-Marie Pearce, CNM ARNP

• Family Medicine Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.