Sandra Denise Percy-Smith

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN11012976 Issued in FL

Practice address

105 Jazz Dr
Panama City, FL 32405-4906

Phone

(850) 745-5111

Fax

(850) 745-5222

NPI assigned

Jul 21, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Medicare enrollment (NPD)

Enrolled

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Psychiatric/Mental Health

  Medicare reassignment NPD
• World Healthcare and Consulting, LLC.

  • Skilled Nursing Facility
  • Lynn Haven, FL
  • NPI 1720447998
  Medicare reassignment NPD
• Mental Health Specialty Group PA

  dba Rula Health

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  FL

  Medicare reassignment NPD
• Mindrest Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Panama City, FL
  • NPI 1770346363
  NPD Authorized official
• Pancare of Florida, Inc

  • Community/Retail Pharmacy
  • Panama City, FL
  • NPI 1336704196
  NPD
• Pancare of Florida, Inc

  • Federally Qualified Health Center (FQHC)
  • Bristol, FL
  • NPI 1275346108
  NPD (past)

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1629686027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "778 CASON CIR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324056471",
            "telephone_number": "754-368-0069",
            "fax_number": "850-745-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 JAZZ DR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054906",
            "telephone_number": "850-745-5111",
            "fax_number": "850-745-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERCY-SMITH",
        "first_name": "SANDRA",
        "middle_name": "DENISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9454129",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11012976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sper399@regiscollege.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3601 Inverrary Dr Apt A301",
            "city": "Lauderhill",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333195934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jaclyn Marie Pennington Ortega, PA-C
• Toni Pennington, M.D.
• Peoples Hospice and Palliative Care of NW Florida LLC (Peoples Hospice and Palliative Care)
• Genesis Lyn Peoples
• Michelle Terrell Peoples
• Tricia Marie Percy, D.O.
• Olivia Taylor Perdue, PA-S
• Ashley Perez, COTA/L
• Monika Perez
• Performance MD LLC

• Psychiatric/Mental Health Nurse Practitioner in Panama City, FL
• Providers in Panama City, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.