The Southern Practitioner Group
NPI 1063389377ActiveOrganization· Nurse Practitioner, Family· Pensacola, FL
Nurse Practitioner, Family in Pensacola, Florida, registered in NPPES in October 2025. The authorized official on file is Jennifer M. Prince, APRN, Aprn/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1063389377 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 21, 2025 |
| Last updated in NPPES | Oct 21, 2025 |
| Certified by provider | Oct 21, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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