Gregory John Addison, RN
Individual provider Active NPI Family Nurse Practitioner · Pensacola, FL
NPI 1003411232 · NPPES record last updated Aug 16, 2021
Key facts
- NPI
- 1003411232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 11011747 (FL)
- Practice address
- 5143 Choctaw Ave
Pensacola, FL 32507-8712 - Phone
- (559) 410-0800
- NPI assigned
- Dec 4, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9216433 | FL | MD | Registered Nurse |
| 11011747 | FL | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9216433 | FL | |
| Family Nurse Practitioner | 363LF0000X | 11011747 | FL | Yes |
Addresses
Primary practice location
5143 Choctaw Ave
Pensacola, FL 32507-8712
Mailing address
5143 Choctaw Ave
Pensacola, FL 32507-8712
Phone (559) 410-0800
Other providers in Pensacola, FL
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- Sabrina Adams
- Kierra Adderley
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- Ron Adduru
- Maera Adeeb
- Alan Eric Adkins
- Clayborn J Adkins
- Kermit Adkins
All providers in Pensacola, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.