Niceville Urgent Care LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

NICEVILLE URGENT CARE LLC

Practice address

910 Palm Blvd S
Niceville, FL 32578-2603

Phone

(850) 398-8077

NPI assigned

Dec 27, 2013

Organization subpart

No

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

Authorized official

Name

Charlie Clancy, PA-C

Title

Managing Partner

Phone

(850) 515-1174

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7208/brand/2/csg/1/fhir/r4

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Michael Huber, PA

  • Physician Assistant
  • Pensacola, FL
  • NPI 1649266719
  NPD
• Robert Ray Schrope IV, PA-C

  • Physician Assistant
  • Pensacola, FL
  • NPI 1861475006

  Single Specialty

  NPD
• Jacqulyne Taylor, ARNP FNP-C

  • Family Nurse Practitioner
  • Niceville, FL
  • NPI 1386236560
  NPD
• Shawn D Taylor, PA-C

  • Physician Assistant
  • Cherokee, NC
  • NPI 1881783728
  NPD

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

{
    "created_epoch": "1388102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388102400000",
    "number": "1881015477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 PALM BLVD S",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325782603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 PALM BLVD S",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325782603",
            "telephone_number": "850-398-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICEVILLE URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-27",
        "last_updated": "2013-12-27",
        "status": "A",
        "authorized_official_last_name": "CLANCY",
        "authorized_official_first_name": "CHARLIE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "850-515-1174",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neuroway TMS
• Niceville Family Dental Center, P.L.
• Niceville Family Practice LLC
• Niceville General Surgery LLC
• Niceville Primary Care Bluewater
• Amanda Nielsen, LCSW
• Molly Marie Nixon, PA
• Lincoln Norris
• North Florida Surgeons, PA
• North Florida Surgeons, PA

• Urgent Care Clinic/Center in Niceville, FL
• Providers in Niceville, 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 Dec 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.