Individual provider Active NPI

Gwendolyn Unique Collins, DC

  • Chiropractor
  • Pensacola, FL
National Provider Identifier
1770087512
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH12444 Issued in FL
Practice address
24 N Tarragona St
Pensacola, FL 32502-6063
Phone
(850) 972-8681
NPI assigned
Mar 19, 2018
Last updated
Jul 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH12444 FL Primary

Addresses

Primary practice location

24 N Tarragona St
Pensacola, FL 32502-6063

Mailing address

5045 Peach Dr
Pace, FL 32571-2785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240401000685 FL Practitioner - Chiropractic 5496193187 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Waterside Chiropractic Inc. Chiropractor CurrentSince Mar 14, 2024 Accepting new patients
Simply Unique Wellness LLC Chiropractor Current Accepting new patients

Locations

13305 Panama City Beach Pkwy
Panama City Beach, FL 32407
Phone (850) 232-2242

1421 E Nine Mile Rd
Pensacola, FL 32514
Phone (850) 484-7735

24 N Tarragona St
Pensacola, FL 32502
Phone (850) 420-1613

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1770087512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5045 PEACH DR",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325712785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 N TARRAGONA ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325026063",
            "telephone_number": "850-972-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "GWENDOLYN",
        "middle_name": "UNIQUE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-19",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.