Active NPI
Peter Joseph Jennings, MD
- Pediatrics Physician
- Pensacola, FL
National Provider Identifier
1194738815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME102501
- Practice address
- 5153 N 9TH Ave
Fsu Pediatric Residency, 6TH Floor Nemours BLDG.
Pensacola, FL 32504-8785 - Phone
- (850) 416-7658
- Fax
- (850) 416-7658
- NPI assigned
- Aug 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME102501 | FL | Primary |
Addresses
Primary practice location
5153 N 9TH Ave
Fsu Pediatric Residency, 6TH Floor Nemours BLDG.
Pensacola, FL 32504-8785
Mailing address
PO Box 2699
Pensacola, FL 32513-2699
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sacred Heart Health System, Inc. | Past | Accepting new patients | |
| Florida State University | Past | Accepting new patients | |
| Premier Cardiology of Boca Raton LLP | Past | Accepting new patients |
Interoperability endpoints
- peter.jennings.1@9582.direct.athenahealth.com
- peter.jennings.2@9582.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Children's Hospital
- Pensacola, FL
- NPI 1821244989
-
- Specialist
- Boca Raton, FL
- NPI 1669521241
-
- Primary Care Clinic/Center
- Pensacola, FL
- NPI 1043261498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392940800000",
"number": "1194738815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2699",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325132699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5153 N 9TH AVE",
"address_2": "FSU PEDIATRIC RESIDENCY, 6TH FLOOR NEMOURS BLDG.",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325048785",
"telephone_number": "850-416-7658",
"fax_number": "850-416-7658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "PETER",
"middle_name": "JOSEPH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2014-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME102501",
"primary": true
}
],
"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 Feb 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.