Samuel Fitzsimons Ravenel II, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME128058 Issued in FL

Practice address

6671 Caroline St
Milton, FL 32570-4781

Phone

(850) 981-9433

Fax

(850) 981-9436

NPI assigned

May 24, 2006

Last updated

Apr 7, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samuelravenel@ecc.allscriptsdirect.net

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

• Escambia Community Clinics Inc

  • Federally Qualified Health Center (FQHC)
  • Pensacola, FL
  • NPI 1518971597
  Medicare reassignment NPD
• Escambia Community Clinics Inc

  • Federally Qualified Health Center (FQHC)
  • Pensacola, FL
  • NPI 1841487634
  NPD
• Escambia Community Clinics, Inc

  dba Pine Forest High School

  • Federally Qualified Health Center (FQHC)
  • Pensacola, FL
  • NPI 1629789466
  NPD
• Escambia Community Clinics Inc

  dba Weis Elementary School

  • Federally Qualified Health Center (FQHC)
  • Pensacola, FL
  • NPI 1497114953
  NPD (past)
• Escambia Community Clinics Inc

  dba Cantonment Pediatrics

  • Federally Qualified Health Center (FQHC)
  • Cantonment, FL
  • NPI 1811344682
  NPD (past)
• Cornerstone Health Care PA

  • Cardiovascular Disease Physician
  • Statesville, NC
  • NPI 1275914046
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1184679375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 W JACKSON ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325057552",
            "telephone_number": "850-436-4630",
            "fax_number": "850-436-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6671 CAROLINE ST",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325704781",
            "telephone_number": "850-981-9433",
            "fax_number": "850-981-9436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVENEL",
        "first_name": "SAMUEL",
        "middle_name": "FITZSIMONS",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME128058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR FL",
            "identifier": "KD915",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "M8P04",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017919600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Angelena Rachal
• Rajadorai Calnaido MD PA
• Rhonda Denise Rakestraw, PTA, ATC/L
• Aileen Ramiro
• Delma Deanne Ramsay, PHARMD
• Kristie Taylor Read, MS
• Stephanie Reaser
• Katelin Reed
• Charlsie Register, RBT
• Laura Reichard

• Pediatrics Physician in Milton, FL
• Providers in Milton, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.