Active NPI
Richard Gavin Macneil, DO
- Nephrology Physician
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- OS15648
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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 PA
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
- DaVita Brewton Dialysis
- Sacred Heart Hospital
- Baptist Hospital
- HCA Florida West Hospital
- Atmore Community Hospital
- D W McMillan Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pensacola Nephrology, PA | Internal Medicine | Current | Accepting new patients |
| Pensacola Nephrology, PA | Nephrology | Current | 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.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Brewton, AL
- NPI 1336483478
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Atmore, AL
- NPI 1790740793
Dialysis facility
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1700979465
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1922032424
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1639116726
-
- General Acute Care Hospital
- Brewton, AL
- NPI 1609811538
-
- Rural Acute Care Hospital
- Atmore, AL
- NPI 1124073879
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.