NPIMap

Organization Active NPI

Pensacola Pediatrics PA

  • Pediatrics Physician
  • Milton, FL
National Provider Identifier
1356200315
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PENSACOLA PEDIATRICS PA
Practice address
5962 Berryhill Rd
Milton, FL 32570-4009
Phone
(850) 983-3700
Fax
(850) 983-0970
NPI assigned
Jan 16, 2026
Organization subpart
Yes
Parent organization
PENSACOLA PEDIATRICS PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Authorized official

Name
Peter Heckathorn
Title
Administrator
Phone
(850) 473-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

5962 Berryhill Rd
Milton, FL 32570-4009

Mailing address

4951 Grande Dr
Pensacola, FL 32504-8965
Phone (850) 473-0100

National Provider Directory

National Provider Directory
Tax ID family
Pensacola Pediatrics PA9 organizations share this tax ID, including this one
Part of
Pensacola Pediatrics PA

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1768521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768521600000",
    "number": "1356200315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4951 GRANDE DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048965",
            "telephone_number": "850-473-0100",
            "fax_number": "850-473-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5962 BERRYHILL RD",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325704009",
            "telephone_number": "850-983-3700",
            "fax_number": "850-983-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENSACOLA PEDIATRICS PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PENSACOLA PEDIATRICS PA",
        "enumeration_date": "2026-01-16",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A",
        "authorized_official_last_name": "HECKATHORN",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "850-473-0100"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.