Individual provider Active NPI

Charles Blay, D.O.

  • Internal Medicine Physician
  • Pensacola, FL
National Provider Identifier
1245761634
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS16823 Issued in FL
Practice address
4724 N Davis Hwy
Pensacola, FL 32503-2339
Phone
(850) 696-4000
Fax
(850) 434-2647
NPI assigned
Mar 27, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS16823 FL Primary

Addresses

Primary practice location

4724 N Davis Hwy
Pensacola, FL 32503-2339

Mailing address

4724 N Davis Hwy
Pensacola, FL 32503-2339
Phone (850) 696-4000

Other practice location 1

1600 SW Archer Rd
Suite 4102
Gainesville, FL 32610-0265
Phone (352) 265-0239

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200708000146 FL Practitioner - Internal Medicine 4880967298 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Woodlands Medical Specialists P aGroup PAC ID 1052469681, 48 clinicians

Practice addresses (Care Compare)

4724 N Davis Hwy
Pensacola, FL 32503-2339
Phone (850) 696-4000

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Pensacola, FL, CCN 107792
  • Peoples Home Health LLC Home health agency, Pensacola, FL, CCN 109664
  • Stat Home Health Florida Panhandle LLC Home health agency, Pensacola, FL, CCN 103138
  • Mission Home Health LLC Home health agency, Pensacola, FL, CCN 687091
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • Baptist Hospital Hospital, Pensacola, FL, CCN 100093
  • Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025
  • Jay Hospital Hospital, Jay, FL, CCN 101315
  • Gulf Breeze Hospital Hospital, Gulf Breeze, FL, CCN 100266
  • HCA Florida West Hospital Hospital, Pensacola, FL, CCN 100231

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Psgfl MSSP, LLC CurrentSince Jul 28, 2025 Accepting new patients
Hni Medical Services of Florida, LLC Internal Medicine CurrentSince Nov 10, 2020 Accepting new patients
Woodlands Medical Specialists P a CurrentSince Jul 1, 2020 Accepting new patients

Locations

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

8325 University Pkwy
Ste A
Pensacola, FL 32514
Phone (850) 324-9633

4724 N Davis Hwy
Pensacola, FL 32503
Phone (850) 444-4716

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

Interoperability endpoints

  • Direct secure messaging: cblay243343@direct.shands.ufl.edu
  • Direct secure messaging: charles.blay.1@24790.direct.athenahealth.com
  • Direct secure messaging: charles.blay@woodlands.ikm.direct-ci.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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1245761634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4724 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032339",
            "telephone_number": "850-696-4000",
            "fax_number": "850-434-2647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4724 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032339",
            "telephone_number": "850-696-4000",
            "fax_number": "850-434-2647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 SW Archer Rd",
            "address_2": "Suite 4102",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326100265",
            "country_code": "US",
            "telephone_number": "352-265-0239",
            "fax_number": "352-265-1107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAY",
        "first_name": "CHARLES",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-27",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS16823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.