Individual provider Active NPI

Sean Joseph Kirby, PA-C

  • Physician Assistant
  • Pensacola, FL
National Provider Identifier
1033519780
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9111243 Issued in FL
Practice address
201 S a St
Pensacola, FL 32502-5554
Phone
(850) 934-7545
Fax
(850) 934-7972
NPI assigned
Aug 31, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 2279PA SC
Physician Assistant 363A00000X PA9111243 FL Primary
Physician Assistant 363A00000X 2393 SC

Addresses

Primary practice location

201 S a St
Pensacola, FL 32502-5554

Mailing address

201 S a St
Pensacola, FL 32502-5554
Phone (850) 934-7545

Other practice location 1

13305 Panama City Beach Pkwy
Panama City, FL 32407-2844
Phone (850) 934-7545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180502002625 FL Practitioner - Physician Assistant 3274755707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neuromicrospine PLLCGroup PAC ID 2365686144, 6 clinicians

Practice addresses (Care Compare)

13305 Panama City Beach Pkwy
Panama City Beach, FL 32407-2844
Phone (850) 934-7545

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2395SCMDRegistered Dietitian
2393SCMDOccupational Therapy Assistant
2279PASCMDSurgical Physician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1033519780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S A ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325025554",
            "telephone_number": "850-934-7545",
            "fax_number": "850-934-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S A ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325025554",
            "telephone_number": "850-934-7545",
            "fax_number": "850-934-7972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13305 Panama City Beach Pkwy",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "324072844",
            "country_code": "US",
            "telephone_number": "850-934-7545",
            "fax_number": "850-934-7972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "SEAN",
        "middle_name": "JOSEPH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-31",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "SC",
            "license": "2279PA",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9111243",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "2393",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.