Organization Active NPI

Panacea Health & Wellness LLC

  • Family Nurse Practitioner
  • New Port Richey, FL
National Provider Identifier
1932092855
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
PANACEA HEALTH & WELLNESS LLC
Practice address
6845 State Road 54
New Port Richey, FL 34653-6032
Phone
(727) 264-7111
NPI assigned
May 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Authorized official

Name
Lawanda Griffin, APRNNPI 1992588909
Title
Owner
Phone
(727) 264-7111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

6845 State Road 54
New Port Richey, FL 34653-6032

Mailing address

12121 Little Rd # 129
Hudson, FL 34667-2924
Phone (727) 264-7111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251209001444 FL Part B Supplier - Clinic/Group Practice 0648764530 Receives reassigned benefits from 1 practitioner
Practice locations: New Port Richey, FL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2336697Panacea Health & Wellness LLC6845 State Road 54, New Port Richey, FL 34653Certificate of waiverJan 7, 2028

National Provider Directory

National Provider Directory

Locations

6845 State Road 54
New Port Richey, FL 34653
Phone (727) 264-7111

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1932092855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12121 LITTLE RD # 129",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346672924",
            "telephone_number": "727-264-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6845 STATE ROAD 54",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346536032",
            "telephone_number": "727-264-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANACEA HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "LAWANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-264-7111",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.