NPIMap

Organization Active NPI

Gastroenterology Associates of Pensacola PA

  • Gastroenterology Physician
  • Pensacola, FL
National Provider Identifier
1235223785
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GASTROENTEROLOGY ASSOCIATES OF PENSACOLA PA
Practice address
4531 N Davis Hwy
Pensacola, FL 32503-2770
Phone
(850) 436-4563
Fax
(850) 436-4570
NPI assigned
Oct 2, 2006
Last updated
May 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Authorized official

Name
Alan Oliver, CEO
Title
Ceo
Phone
(786) 530-3820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X NU Primary

Addresses

Primary practice location

4531 N Davis Hwy
Pensacola, FL 32503-2770

Mailing address

4828 N Davis Hwy
Pensacola, FL 32503-2341
Phone (850) 477-8109

Other identifiers 5

IdentifierTypeStateIssuer
CA7936OtherRAILROAD MEDICARE
0084OtherHEALTH OPTIONS
21821BOtherFLBCBS OF FL
529503660MedicaidAL
254428800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040726000423 FL Part B Supplier - Clinic/Group Practice 2365422664 Receives reassigned benefits from 122 practitioners
3 other NPIs on this enrollment
Practice locations: Navarre, FL; Pensacola, FL; Pace, FL; Milton, FL; Jay, FL; Gulf Breeze, FL; Crestview, FL
O20041027000186 AL Part B Supplier - Clinic/Group Practice 2365422664 Receives reassigned benefits from 11 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Atmore, AL; Brewton, AL; Foley, AL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1701 N McKenzie St
Foley, AL 36535
Phone (251) 434-1863

204 Center St
Gulf Breeze, FL 32561
Phone (850) 932-5348

14114 Alabama St
Jay, FL 32565
Phone (850) 675-8000

5907 Berryhill Rd
Ste 100
Milton, FL 32570

1717 N E St
Ste 308
Pensacola, FL 32501
Phone (850) 496-4563

2475 E Nine Mile Rd
Pensacola, FL 32514

4531 N Davis Hwy
Ste B
Pensacola, FL 32503
Phone (850) 475-4483

5147 N 9th Ave
Ste 201
Pensacola, FL 32504

5147 N 9th Ave
Ste 311
Pensacola, FL 32504

517 Selina St
Pensacola, FL 32503

Practitioners & affiliated clinicians

Practitioners 133

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.

View all 133

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1235223785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4828 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032341",
            "telephone_number": "850-477-8109",
            "fax_number": "850-476-5313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4531 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032770",
            "telephone_number": "850-436-4563",
            "fax_number": "850-436-4570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY ASSOCIATES OF PENSACOLA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-530-3820",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CA7936",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH OPTIONS",
            "identifier": "0084",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "21821B",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529503660",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254428800",
            "state": "FL"
        }
    ],
    "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 May 15, 2025; 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.

Verify at the official NPI Registry.