Organization Active NPI

Primary Wellcare LLC

  • Family Medicine Physician
  • Panama City Beach, FL
National Provider Identifier
1992654719
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PRIMARY WELLCARE LLC
Practice address
14101 Panama City Beach Pkwy Ste 300
Panama City Beach, FL 32413-2870
Phone
(850) 919-4505
Fax
(949) 883-3971
NPI assigned
Jan 26, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Authorized official

Name
Mrs. Marianne Pinion FordNPI 1104164987
Title
Owner
Phone
(850) 919-4505

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 Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

14101 Panama City Beach Pkwy Ste 300
Panama City Beach, FL 32413-2870

Mailing address

14101 Panama City Beach Pkwy Ste 300
Panama City Beach, FL 32413-2870
Phone (850) 919-4505

Other names 1

  • Primary MobileCare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260302000505 FL Part B Supplier - Clinic/Group Practice 3274015136 Receives reassigned benefits from 1 practitioner
Practice locations: Panama City Beach, FL

National Provider Directory

National Provider Directory

Locations

14101 Panama City Beach Pkwy
Ste 300
Panama City Beach, FL 32413

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": "1769385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1992654719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14101 PANAMA CITY BEACH PKWY STE 300",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324132870",
            "telephone_number": "850-919-4505",
            "fax_number": "949-883-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14101 PANAMA CITY BEACH PKWY STE 300",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324132870",
            "telephone_number": "850-919-4505",
            "fax_number": "949-883-3971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY WELLCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-26",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_middle_name": "PINION",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-919-4505",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary MobileCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Panama City Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.