Southern Breeze Primary Care, LLC
NPI 1114734183 · Primary Care Clinic/Center · Panama City, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Breeze Primary Care, LLC is a Primary Care Clinic/Center organization in Panama City, FL (NPI 1114734183).
Provider details
- NPI number
- 1114734183
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lisa King, Administrator(850) 527-6489
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-12-13
- Last updated
- 2024-12-13
- Certified
- 2024-12-13
Frequently asked questions
- What is Southern Breeze Primary Care, LLC's NPI number?
- Southern Breeze Primary Care, LLC's National Provider Identifier (NPI) is 1114734183, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Breeze Primary Care, LLC?
- Southern Breeze Primary Care, LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southern Breeze Primary Care, LLC located?
- Southern Breeze Primary Care, LLC's practice location on file with NPPES is 107 W 19th St, Panama City, FL 32405-4647.
- What is Southern Breeze Primary Care, LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Breeze Primary Care, LLC is (850) 527-6489.
- Does Southern Breeze Primary Care, LLC accept Medicare?
- Southern Breeze Primary Care, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southern Breeze Primary Care, LLC?
- The authorized official listed on Southern Breeze Primary Care, LLC's NPPES record is Lisa King, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Breeze Primary Care, LLC's NPI active?
- Yes — Southern Breeze Primary Care, LLC's NPI (1114734183) is active in the NPPES registry as of the last update on 2024-12-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.