Individual provider Active NPI

Purushottam K. Garg, MD

  • Family Medicine Physician
  • Pensacola, FL
National Provider Identifier
1578549085
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME68880 Issued in FL
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
Last updated
Jul 31, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME68880 FL Primary
Family Medicine Physician 207Q00000X MD.30109 AL

Addresses

Primary practice location

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

Mailing address

5500 N Davis Hwy Ste 2
Pensacola, FL 32503-2063
Phone (850) 475-0867

Other identifiers 3

IdentifierTypeStateIssuer
37816820MedicaidFL
080125539OtherMEDICARE RAILROAD
27429OtherFLBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100107000483 FL Practitioner - Family Practice 7618942145 Reassigns benefits to 1 organization
I20110719000388 AL Practitioner - Family PracticePractitioner - Emergency Medicine 7618942145

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5553 Hwy 90
Pace, FL 32571-1540
Phone (850) 995-8811

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME68880FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pea Ridge Family Care Center Inc Family Medicine CurrentSince Apr 1, 1998 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Affordable Medical Clinic of Alabama Family Medicine Past Accepting new patients

Locations

5553 Highway 90
Pace, FL 32571
Phone (850) 995-8811

5500 N Davis Hwy
Ste 2
Pensacola, FL 32503
Phone (850) 475-0867

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1578549085",
    "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": {
        "last_name": "GARG",
        "first_name": "PURUSHOTTAM",
        "middle_name": "K.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME68880",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.30109",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37816820",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "080125539",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "27429",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.