Individual provider Active NPI

John Hammock

  • Emergency Medicine Physician
  • Pensacola, FL
National Provider Identifier
1407956808
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS9519 Issued in FL
Practice address
1000 W. Moreno St
Pensacola, FL 32501
Phone
(850) 434-4011
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS9519 FL Primary

Addresses

Primary practice location

1000 W. Moreno St
Pensacola, FL 32501

Mailing address

P O Box 409703
Atlanta, GA 30384-9703
Phone (770) 874-5400

Other identifiers 1

IdentifierTypeStateIssuer
273392700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NJ2 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
I20050907000076 FL Practitioner - Emergency Medicine 6103871579 Reassigns benefits to 1 organization
I20210203000785 NJ Practitioner - Emergency Medicine 6103871579 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3953OKMDDentist
OS9519FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pensacola Emergency Physicians, LLC Emergency Medicine CurrentSince Jul 1, 2005 Accepting new patients
Pensacola Emergency Physicians, LLC Emergency Medicine Current Accepting new patients
Valley Emergency Assoc PA Emergency Medicine CurrentSince Feb 1, 2021 Accepting new patients
Wichita Emergency Physicians Emergency Medicine Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
North Florida Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

1000 W Moreno St
Pensacola, FL 32501
Phone (850) 434-4011

123 Baptist Way
Pensacola, FL 32503
Phone (850) 434-4011

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 6

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202256000000",
    "number": "1407956808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 409703",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303849703",
            "telephone_number": "770-874-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W. MORENO ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32501",
            "telephone_number": "850-434-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMOCK",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS9519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273392700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.