Organization Active NPI

Weil Medical Group LLC

  • Primary Care Clinic/Center
  • Pensacola, FL
National Provider Identifier
1780554881
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
WEIL MEDICAL GROUP LLC
Practice address
6160 N Davis Hwy Ste 5
Pensacola, FL 32504-6967
Phone
(850) 471-2121
Fax
(850) 471-2120
NPI assigned
Nov 5, 2025
Last updated
Dec 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Authorized official

Name
Lori Blackmon
Title
Office Manager
Phone
(850) 471-2121

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary
Family Medicine Physician 207Q00000X

Addresses

Primary practice location

6160 N Davis Hwy Ste 5
Pensacola, FL 32504-6967

Mailing address

6160 N Davis Hwy Ste 5
Pensacola, FL 32504-6967
Phone (850) 471-2121

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260106000187 FL Part B Supplier - Clinic/Group Practice 6800382318 Receives reassigned benefits from 1 practitioner
Practice locations: Pensacola, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1762300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1780554881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 N DAVIS HWY STE 5",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046967",
            "telephone_number": "850-471-2121",
            "fax_number": "850-471-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 N DAVIS HWY STE 5",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046967",
            "telephone_number": "850-471-2121",
            "fax_number": "850-471-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEIL MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-05",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "BLACKMON",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "850-471-2121"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Dec 4, 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.