PRIMARY WELLCARE LLC – NPI #1992654719
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

PRIMARY WELLCARE LLC is a provider located in PANAMA CITY BEACH, FL. NPPES has assigned the NPI number 1992654719 to PRIMARY WELLCARE LLC on January 26, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PRIMARY WELLCARE LLC below.

NPI Profile for
PRIMARY WELLCARE LLC

NPI Number
1992654719
Enumeration Date

(about 4 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PRIMARY WELLCARE LLC
Primary location
109 BONAIRE DR
PANAMA CITY BEACH, FL 32413-6006
Phone: (850) 919-4505 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARIANNE FORD
OWNER
Phone: (864) 704-6863
Updated
Certification Date
Jan 25, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.