Carolyn Waddell, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9109908 Issued in FL

Practice address

2120 E Johnson Ave Ste 100
Pensacola, FL 32514-6091

Phone

(850) 477-3252

NPI assigned

Sep 23, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gary Gotthelf, M.D., P.a.Group PAC ID 2466352224, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Pensacola, FL, CCN 107792
• Amedisys Home Health Home health agency, Pensacola, FL, CCN 108309
• Baptist Hospital Hospital, Pensacola, FL, CCN 100093
• Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025
• Gulf Breeze Hospital Hospital, Gulf Breeze, FL, CCN 100266
• HCA Florida West Hospital Hospital, Pensacola, FL, CCN 100231

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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

• Gary Gotthelf MD and Associates Inc

  • Internal Medicine Physician
  • Pensacola, FL
  • NPI 1023000817
  Medicare reassignment Care Compare group
• Alabama Providence Healthcare Services

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1245669514
  Medicare reassignment NPD
• Alabama Providence Healthcare Services

  • Endocrinology, Diabetes & Metabolism Physician
  • Mobile, AL
  • NPI 1609446087
  NPD
• Providence Healthcare Services

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1508878083
  NPD

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

• Amedisys Florida, LLC

  • Home Health Agency
  • Pensacola, FL
  • NPI 1679685085
  Care Compare affiliation
• Baptist Health Care, Inc

  • General Acute Care Hospital
  • Pensacola, FL
  • NPI 1700979465
  Care Compare affiliation
• Baptist Health Care, Inc.

  • General Acute Care Hospital
  • Gulf Breeze, FL
  • NPI 1972664530
  Care Compare affiliation
• Sacred Heart Health System, Inc.

  • General Acute Care Hospital
  • Pensacola, FL
  • NPI 1922032424
  Care Compare affiliation
• Senior Home Care, Inc.

  • Home Health Agency
  • Pensacola, FL
  • NPI 1437100450
  Care Compare affiliation
• West Florida Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Pensacola, FL
  • NPI 1639116726
  Care Compare affiliation

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1598214116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 E JOHNSON AVE STE 100",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146091",
            "telephone_number": "850-477-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 E JOHNSON AVE STE 100",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146091",
            "telephone_number": "850-477-3252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADDELL",
        "first_name": "CAROLYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-23",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9109908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Vu, PHARM.D.
• Yelena Sergeevna Vuyovich, ARNP
• Bryan Vyverberg, M.D.
• W H Hansen MD PA
• Richard John Waclawski, M.D.
• Joshua Waddell, APRN
• Barbara H Wade, MD
• David Wade Jr.
• Jessica Wade, ARNP
• Stephanie Renea Wade

• Medical Physician Assistant in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.