PENSACOLA NEPHROLOGY, PA – NPI #1558304519
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 MILTON, FL. NPPES has assigned the NPI number 1558304519 to PENSACOLA NEPHROLOGY, PA on June 14, 2006. 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

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
1558304519
Enumeration Date

(about 20 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
5934 BERRYHILL MEDICAL PARK DR
SUITE 1
MILTON, FL 32570
Phone: (850) 623-4771 Fax: (850) 623-3938
Mailing address
PO BOX 11037
PENSACOLA, FL 32524-1037
Phone: (850) 444-7000 Fax: (850) 623-4771
Organization Subpart
Yes - PENSACOLA NEPHROLOGY, PA is subpart of another organization.
Authorized Official
JUSTIN DANSBY
ADMINISTRATION
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
otherBCBS OF FLORIDAFL99659
otherMED3000/HEALTH 1ST NETWORFL0358
otherRR MEDICARECF9776
medicaidAL529904030
medicaidFL256870503
medicaidFL256870504
medicaidFL256870505
medicaidFL256870506
medicaidFL256870501
medicaidFL256870500
medicaidFL256870502
medicaidFL256870507
medicaidFL256870508
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.