Individual provider Active NPI

Pamela Michelle Grier-Hall, MD

  • Pediatrics Physician
  • Pensacola, FL
National Provider Identifier
1366418808
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME0077102 Issued in FL
Practice address
5868 Creek Station Dr BLDG a
Pensacola, FL 32504-8627
Phone
(850) 471-5060
Fax
(850) 471-5070
NPI assigned
Feb 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME0077102 FL Primary

Addresses

Primary practice location

5868 Creek Station Dr BLDG a
Pensacola, FL 32504-8627

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
258531600MedicaidFL

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
I20120510000446 FL Practitioner - Pediatric Medicine 4981866845 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0077102FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Panhandle Emergency Physicians a Div of Sacred Heart Hosp Pensacola CurrentSince Apr 30, 2012 Accepting new patients
Pensacola Pediatrics PA Pediatrics Past Accepting new patients
Pensacola Pediatrics PA Pediatrics PastSince Oct 16, 2022 Accepting new patients
Pensacola Pediatrics, PA Pediatrics PastSince Aug 8, 2021 Accepting new patients
Pensacola Pediatrics PA Pediatrics PastSince Aug 8, 2021 Accepting new patients

Locations

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

Interoperability endpoints

  • Direct secure messaging: pamelagrierhall@ecc.allscriptsdirect.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1366418808",
    "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": "5868 CREEK STATION DR BLDG A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048627",
            "telephone_number": "850-471-5060",
            "fax_number": "850-471-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIER-HALL",
        "first_name": "PAMELA",
        "middle_name": "MICHELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-24",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0077102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258531600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.