Individual provider Active NPI

Richard Magana, PA-C

  • Physician Assistant
  • Santa Rosa Beach, FL
National Provider Identifier
1720686116
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9113664 Issued in FL
Practice address
5551 US Highway 98
Santa Rosa Beach, FL 32459-3566
Phone
(850) 420-5420
Fax
(850) 244-8011
NPI assigned
Oct 16, 2020
Last updated
Feb 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9113664 FL Primary

Addresses

Primary practice location

5551 US Highway 98
Santa Rosa Beach, FL 32459-3566

Mailing address

4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623
Phone (904) 450-6063

Other identifiers 1

IdentifierTypeStateIssuer
109577200MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL http://www.primarycaresouth.com/

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210208002982 FL Practitioner - Physician Assistant 5597170308 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care South, IncGroup PAC ID 6406282300, 5 clinicians
Sacred Heart Health System, IncGroup PAC ID 0244126621, 19 clinicians

Practice addresses (Care Compare)

5551 US Hwy 98 W
Santa Rosa Beach, FL 32459-3566
Phone (850) 420-5420

6665 Pensacola Blvd
Pensacola, FL 32505-1705
Phone (850) 416-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9113664FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Access Health Care Physicians LLC CurrentSince Feb 1, 2021 Accepting new patients
Sacred Heart Health System, Inc. CurrentSince Feb 19, 2026 Accepting new patients
Tri Hospital MRI Center Past Accepting new patients

Locations

401 N Central Ave
Inverness, FL 34453
Phone (352) 419-6526

634 NE Jensen Beach Blvd
Jensen Beach, FL 34957
Phone (772) 334-6201

13220 Belcher Rd S
Unit 11
Largo, FL 33773
Phone (727) 533-2242

6665 Pensacola Blvd
Pensacola, FL 32505
Phone (850) 416-2000

14690 Spring Hill Dr
Ste 305
Spring Hill, FL 34609
Phone (352) 277-5348

5350 Spring Hill Dr
Spring Hill, FL 34606
Phone (352) 688-8116

Organizations & group practices 5

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": "1602806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1720686116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 BELFORT RD STE 4015",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163623",
            "telephone_number": "904-450-6063",
            "fax_number": "904-539-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5551 US HIGHWAY 98",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324593566",
            "telephone_number": "850-420-5420",
            "fax_number": "850-244-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGANA",
        "first_name": "RICHARD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-16",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9113664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109577200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://www.primarycaresouth.com/",
            "affiliation": "N",
            "address_1": "5551 US Highway 98",
            "city": "Santa Rosa Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "324593566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Rosa Beach, FL

Sources for this page

Verify at the official NPI Registry.