Active NPI
Primis Initium Health LLC
- Physical Medicine & Rehabilitation Physician
- Pensacola, FL
National Provider Identifier
1316893928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- PRIMIS INITIUM HEALTH LLC
- Practice address
- 1101 Office Woods Dr
Pensacola, FL 32504-5937 - Phone
- (404) 234-9007
- Fax
- (850) 474-9060
- NPI assigned
- Mar 6, 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
- Gabriel J Rodriguez Tellado, MD
- Title
- President
- Phone
- (404) 234-9007
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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
1101 Office Woods Dr
Pensacola, FL 32504-5937
Mailing address
PO Box 30120
Pensacola, FL 32503-1120
Phone (404) 234-9007
Other practice location 1
7000 Cobble Crk
Pensacola, FL 32504-8638
Phone (404) 234-9007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Pensacola, FL
- NPI 1972034049
-
- Surgery Physician
- Lynn Haven, FL
- NPI 1942239405
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1053313122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773792000000",
"number": "1316893928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30120",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325031120",
"telephone_number": "404-234-9007",
"fax_number": "850-474-9060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 OFFICE WOODS DR",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325045937",
"telephone_number": "404-234-9007",
"fax_number": "850-474-9060"
}
],
"practiceLocations": [
{
"address_1": "7000 Cobble Crk",
"address_purpose": "LOCATION",
"city": "Pensacola",
"state": "FL",
"postal_code": "325048638",
"country_code": "US",
"telephone_number": "404-234-9007",
"fax_number": "850-474-9060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PRIMIS INITIUM HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-06",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ TELLADO",
"authorized_official_first_name": "GABRIEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "404-234-9007",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.