PENSACOLA NEPHROLOGY, PA – NPI #1518969765
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.

PENSACOLA NEPHROLOGY, PA is a provider located in PENSACOLA, FL. NPPES has assigned the NPI number 1518969765 to PENSACOLA NEPHROLOGY, PA on June 01, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 14 additional location(s) assigned to this provider which are listed below. 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

The NPI profile was last updated on Feb 19, 2025. 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
1518969765
Enumeration Date

(more than 21 years 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
1619 CREIGHTON RD STE 1
PENSACOLA, FL 32504-7152
Phone: (850) 444-4700 Fax: (850) 434-8144
14 Other location(s):
6001 Industrial Blvd
Century, FL 32535-3312
Phone: (850) 444-4700
Fax: (850) 434-8144
221 E Redstone Ave
Crestview, FL 32539-5373
Phone: (850) 398-6606
Fax: (850) 398-6424
319 Green Acres Rd Ste 103
Fort Walton Beach, FL 32547-1170
Phone: (850) 862-2385
Fax: (850) 862-0482
1118 Gulf Breeze Pkwy Ste 200
Gulf Breeze, FL 32561-7806
Phone: (850) 444-4700
Fax: (850) 434-8144
2583 Gulf Breeze Pkwy
Gulf Breeze, FL 32563-3043
Phone: (850) 444-4700
Fax: (850) 434-8144
14114 Alabama St
Jay, FL 32565-1219
Phone: (850) 444-4700
Fax: (850) 434-8144
5819 Highway 90
Milton, FL 32583-1763
Phone: (850) 444-4700
Fax: (850) 444-7497
5934 Berryhill Medical Park Dr Ste 1
Milton, FL 32570
Phone: (850) 623-4771
Fax: (850) 623-3938
4304 Lancaster Dr
Niceville, FL 32578-4563
Phone: (850) 862-2385
Fax: (850) 862-0482
2940 N Blue Angel Pkwy
Pensacola, FL 32506-2925
Phone: (850) 444-4700
Fax: (850) 434-8144
5149 N 9th Ave Ste G35
Pensacola, FL 32504-8733
Phone: (850) 444-4700
Fax: (850) 434-8144
598 N Fairfield Dr Ste 100
Pensacola, FL 32506-4320
Phone: (850) 444-4700
Fax: (850) 434-8144
700 E Cervantes St
Pensacola, FL 32501-3487
Phone: (850) 444-4700
Fax: (850) 434-8144
8333 N Davis Hwy
Pensacola, FL 32514-6050
Phone: (850) 444-4700
Fax: (850) 444-7497
Mailing address
PO BOX 11037
PENSACOLA, FL 32524-1037
Phone: (850) 444-4700 Fax: (850) 444-7497
Organization Subpart
No
Authorized Official
JUSTIN DANSBY
CFO
Phone: (850) 444-4700
Updated
Certification Date
Feb 19, 2025

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.

Identifiers

Identifiers for PENSACOLA NEPHROLOGY, PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
otherRRB PTANALCF9777
otherRRB PTANFLCF9776
medicaidFL256870500
medicaidFL256870513
medicaidFL256870509
medicaidFL256870510
medicaidFL256870512
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.