NPIMap

Organization Active NPI

Neuromicrospine PLLC

  • Neurological Surgery Physician
  • Pensacola, FL
National Provider Identifier
1386077287
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
NEUROMICROSPINE PLLC
Practice address
201 S a St
Pensacola, FL 32502-5554
Phone
(850) 934-7545
Fax
(850) 934-7972
NPI assigned
Aug 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Authorized official

Name
Candie Caperton
Title
Office Manager
Phone
(850) 934-7545

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X Primary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X

Addresses

Primary practice location

201 S a St
Pensacola, FL 32502-5554

Mailing address

201 S a St
Pensacola, FL 32502-5554
Phone (850) 934-7545

Other practice location 1

13305 Panama City Beach Pkwy
Panama City, FL 32407-2844
Phone (850) 934-7545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130917000554 FL Part B Supplier - Clinic/Group Practice 2365686144 Receives reassigned benefits from 7 practitioners
Practice locations: Panama City Beach, FL; Pensacola, FL
O20140423000755 FL DME Supplier - Physician - Neurosurgery 2365686144 Practice locations: Pensacola, FL

National Provider Directory

National Provider Directory

Locations

9400 University Pkwy
Ste 309
Pensacola, FL 32514
Phone (850) 479-3320

Interoperability endpoints

  • Direct secure messaging: keithberens@nmis.allscriptsdirect.net
  • Direct secure messaging: clarkmetzger@nmis.allscriptsdirect.net
  • Direct secure messaging: markgiovanini@nmis.allscriptsdirect.net
  • Direct secure messaging: melaniependergrass@nmis.allscriptsdirect.net
  • Direct secure messaging: matthewhammond@nmis.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1386077287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S A ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325025554",
            "telephone_number": "850-934-7545",
            "fax_number": "850-934-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S A ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325025554",
            "telephone_number": "850-934-7545",
            "fax_number": "850-934-7972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13305 Panama City Beach Pkwy",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "324072844",
            "country_code": "US",
            "telephone_number": "850-934-7545",
            "fax_number": "850-934-7972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEUROMICROSPINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "CAPERTON",
        "authorized_official_first_name": "CANDIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "850-934-7545"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.