Active NPI
Jonathan Neil Elliot Sr., MD
- Family Medicine Physician
- Pensacola, FL
National Provider Identifier
1124092689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 00027188
- Practice address
- 220 Hovey Rd
Pensacola, FL 32508-1044 - Phone
- (850) 497-2059
- NPI assigned
- Feb 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | |||
| Family Medicine Physician | 207Q00000X | 00027188 | AL | Primary |
| Aerospace Medicine Physician | 2083A0100X | 27188 | AL |
Addresses
Primary practice location
220 Hovey Rd
Pensacola, FL 32508-1044
Mailing address
220 Hovey Rd
Pensacola, FL 32508-1044
Phone (850) 497-2059
Other practice location 1
6000 W Highway 98
Family Medicine Depatment at Naval Hospital
Pensacola, FL 32512-0001
Phone (850) 505-7171
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00027188 | AL | MD | Family Medicine Physician |
| 27188 | AL | MD | Aerospace Medicine Physician |
Interoperability endpoints
- jonathan.elliot.1@24790.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629849600000",
"number": "1124092689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 HOVEY RD",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325081044",
"telephone_number": "850-497-2059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 HOVEY RD",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325081044",
"telephone_number": "850-497-2059"
}
],
"practiceLocations": [
{
"address_1": "6000 W Highway 98",
"address_2": "FAMILY MEDICINE DEPATMENT AT NAVAL HOSPITAL",
"address_purpose": "LOCATION",
"city": "Pensacola",
"state": "FL",
"postal_code": "325120001",
"country_code": "US",
"telephone_number": "850-505-7171",
"fax_number": "850-505-6501",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELLIOT",
"first_name": "JONATHAN",
"middle_name": "NEIL",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-13",
"last_updated": "2021-08-25",
"certification_date": "2021-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "00027188",
"primary": true
},
{
"code": "2083A0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Aerospace Medicine",
"state": "AL",
"license": "27188",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.