Individual provider Active NPI

Richard Gavin Macneil, DO

  • Nephrology Physician
  • Pensacola, FL
National Provider Identifier
1376064568
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
OS15648 Issued in FL
Practice address
1619 Creighton Rd Ste 1
Pensacola, FL 32504-7152
Phone
(850) 444-4700
NPI assigned
Jun 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X DO.3246 AL
Student in an Organized Health Care Education/Training Program 390200000X
Nephrology Physician 207RN0300X OS15648 FL Primary

Addresses

Primary practice location

1619 Creighton Rd Ste 1
Pensacola, FL 32504-7152

Mailing address

409 S 13TH St
Lillington, NC 27546-8354

Other practice location 1

1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 832-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230615003292 AL Practitioner - Nephrology 9739588427 Reassigns benefits to 1 organization
I20230616001575 FL Practitioner - Nephrology 9739588427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Nova Southeastern College of Osteo Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pensacola Nephrology PAGroup PAC ID 7214832856, shared by 2 NPIs, 37 clinicians

Practice addresses (Care Compare)

1121 Belleview Ave
Brewton, AL 36426-1500
Phone (850) 444-4700

1619 Creighton Rd
Suite 1
Pensacola, FL 32504-7152
Phone (850) 444-4700

401 Medical Park Dr
Atmore, AL 36502-3006
Phone (850) 444-4700

Hospital & facility affiliations

  • DaVita Atmore Dialysis Center Dialysis facility, Atmore, AL, CCN 012600
  • DaVita Brewton Dialysis Dialysis facility, Brewton, AL, CCN 012665
  • Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025
  • Baptist Hospital Hospital, Pensacola, FL, CCN 100093
  • HCA Florida West Hospital Hospital, Pensacola, FL, CCN 100231
  • Atmore Community Hospital Hospital, Atmore, AL, CCN 010169
  • D W McMillan Memorial Hospital Hospital, Brewton, AL, CCN 010099

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pensacola Nephrology, PA Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Pensacola Nephrology, PA Nephrology CurrentSince Aug 1, 2023 Accepting new patients
Pensacola Nephrology, PA Internal Medicine Past Accepting new patients

Locations

401 S 8th Ave
Atmore, AL 36502
Phone (251) 368-2500

406 Medical Park Dr
Atmore, AL 36502
Phone (251) 368-6245

1121 Belleville Ave
Brewton, AL 36426
Phone (251) 809-3180

6001 Industrial Blvd
Century, FL 32535
Phone (251) 943-2300

221 E Redstone Ave
Crestview, FL 32539
Phone (850) 398-6606

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

1619 Creighton Rd
Ste 1
Pensacola, FL 32504
Phone 85044447001730

5149 N 9th Ave
Ste G35
Pensacola, FL 32504
Phone (850) 471-1445

2940 N Blue Angel Pkwy
Pensacola, FL 32506
Phone (850) 453-3658

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 7

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

NPI Registry JSON

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1376064568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S 13TH ST",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275468354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 CREIGHTON RD STE 1",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325047152",
            "telephone_number": "850-444-4700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 N Elm St",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274011004",
            "country_code": "US",
            "telephone_number": "336-832-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACNEIL",
        "first_name": "RICHARD",
        "middle_name": "GAVIN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-28",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AL",
            "license": "DO.3246",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "OS15648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.