Active NPI
Infectious Disease Group, PA
- Infectious Disease Physician
- Pensacola, FL
National Provider Identifier
1235218405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- Legal business name
- INFECTIOUS DISEASE GROUP, PA
- Practice address
- 5120 Bayou Blvd Ste 11
Pensacola, FL 32503-2135 - Phone
- (850) 432-3692
- Fax
- (850) 332-6445
- NPI assigned
- Nov 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kristin Austin Jr.
- Title
- Office Manager
- Phone
- (850) 432-3692
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | FL | Primary |
Addresses
Primary practice location
5120 Bayou Blvd Ste 11
Pensacola, FL 32503-2135
Mailing address
5120 Bayou Blvd Ste 11
Pensacola, FL 32503-2135
Phone (850) 432-3692
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 377030300 | Medicaid | FL | |
| 529502140 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1717 N E St
Ste 439
Pensacola, FL 32501
Phone (850) 432-3692
5120 Bayou Blvd
Ste 11
Pensacola, FL 32503
Phone (850) 432-3692
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Infectious Disease Physician
- Pensacola, FL
- NPI 1790869006
-
- Internal Medicine Physician
- Pensacola, FL
- NPI 1285085399
-
- Infectious Disease Physician
- Pensacola, FL
- NPI 1932283231
-
- Infectious Disease Physician
- Salem, VA
- NPI 1861426264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722988800000",
"number": "1235218405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5120 BAYOU BLVD STE 11",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325032135",
"telephone_number": "850-432-3692",
"fax_number": "850-432-3692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5120 BAYOU BLVD STE 11",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325032135",
"telephone_number": "850-432-3692",
"fax_number": "850-332-6445"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INFECTIOUS DISEASE GROUP, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-06",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A",
"authorized_official_last_name": "AUSTIN",
"authorized_official_first_name": "KRISTIN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "850-432-3692",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "377030300",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "529502140",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
- Inasmuch Companion Assistance Inc
- Alejandro A Inclan, MD
- Independence for Life LLC
- Indiana Ams LLC
- Inex Therapeutic & Rehabilitation
- Infectious Diseases Associates of Northwest Florida PA (Center for Prevention and Treatment of Infections)
- Infectious Diseases Expert Group of NW Florida LLC
- Infinite Developmental Services LLC.
- Craig Andrew Ingermann, PA-C
- Brandy Latasha Ingram, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.