Mma Wellness
NPI 1053892620ActiveOrganization· Nurse Practitioner, Family· Panama City, FL
Nurse Practitioner, Family in Panama City, Florida, registered in NPPES in August 2018, part of Mma Wellness. The authorized official on file is Mary Margaret Andrews, ARNP-C, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053892620 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Mma Wellness |
| NPI issued | Aug 22, 2018 |
| Last updated in NPPES | May 20, 2020 |
| Certified by provider | May 20, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | ARNP9266378 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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