PENSACOLA NEPHROLOGY PA – NPI #1053252684
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Health Care Provider Taxonomy Code for Internal Medicine

PENSACOLA NEPHROLOGY PA is a provider located in FREEPORT, FL. NPPES recently assigned the NPI number 1053252684 to PENSACOLA NEPHROLOGY PA on April 06, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

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 PENSACOLA NEPHROLOGY PA below.

NPI Profile for
PENSACOLA NEPHROLOGY PA

NPI Number
1053252684
Enumeration Date

(about 2 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
PENSACOLA NEPHROLOGY PA
Primary location
67 JOE CAMPBELL RD
FREEPORT, FL 32439-4418
Phone: (850) 862-2385 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
AMANDA ROBERSON
CREDENTIALING SPECIALIST
Phone: (850) 444-4700
Updated
Certification Date
Apr 06, 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
207RN0300X
- Internal Medicine / Nephrology (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.