Patients First Lake Ella Medical Center P a

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

PATIENTS FIRST LAKE ELLA MEDICAL CENTER P A

Practice address

4441 Bayou Blvd
Pensacola, FL 32503-2601

Phone

(850) 332-4246

NPI assigned

Aug 27, 2026

Organization subpart

No

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

Authorized official

Name

Shandi Faulk

Title

VP of Billing Operations

Phone

(678) 679-6471

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1787788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1679480149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 LANIER AVE W",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4441 BAYOU BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032601",
            "telephone_number": "850-332-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENTS FIRST LAKE ELLA MEDICAL CENTER P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-27",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "FAULK",
        "authorized_official_first_name": "SHANDI",
        "authorized_official_title_or_position": "VP OF BILLING OPERATIONS",
        "authorized_official_telephone_number": "678-679-6471"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tulsi Patel
• Tushar Mahendra Patel, MD, MS
• Vaidehi S. Patel, M.D.
• Pathology Group PA
• Pathways for Change, Inc
• Rahul Dundappa Patil, M.D.
• Sangeeta Patil, M.D.
• Patricia Ann Rutledge-Capers, LMHC
• Kathryn George Patrick, ARNP
• James Randall Patrinely, M.D.

• Urgent Care Clinic/Center in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Urgent Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.