NPIMap

Organization Active NPI

Pensacola Nephrology, PA

Doing business as Renalus Center for Kidney Care

  • Nephrology Physician
  • Niceville, FL
National Provider Identifier
1477501153
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
PENSACOLA NEPHROLOGY, PA
Doing business as
Renalus Center for Kidney Care
Practice address
4304 Lancaster Dr
Niceville, FL 32578-4563
Phone
(850) 862-2385
Fax
(850) 862-0482
NPI assigned
May 4, 2006
Last updated
Feb 19, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
PENSACOLA NEPHROLOGY, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Justin Dansby
Title
Cfo
Phone
(850) 444-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

4304 Lancaster Dr
Niceville, FL 32578-4563

Mailing address

PO Box 11037
Pensacola, FL 32524-1037
Phone (850) 444-7000

Other names 1

  • Renalus Center for Kidney Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pensacola Nephrology PA15 organizations share this tax ID, including this one
Part of
Pensacola Nephrology PA

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

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

129 E Redstone Ave
Ste B
Crestview, FL 32539

1045 US Highway 331 S
Defuniak Springs, FL 32435
Phone (850) 892-1345

319 Green Acres Rd
#103
Fort Walton Beach, FL 32547

5326 Stewart St
Milton, FL 32570
Phone (850) 623-3211

5934 Berryhill Rd
#1
Milton, FL 32570

5934 Berryhill Rd
#2
Milton, FL 32570
Phone (850) 626-9448

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

1619 Creighton Rd
Ste 1
Pensacola, FL 32504
Phone 85044447001730

1619 Creighton Rd
Ste 101
Pensacola, FL 32504

5120 Bayou Blvd
Ste 3
Pensacola, FL 32503
Phone (850) 477-3485

5401 Corporate Woods Dr
Pensacola, FL 32504
Phone (850) 494-0060

812 Creighton Rd
Pensacola, FL 32504
Phone (850) 564-6644

8330 N Davis Hwy
Pensacola, FL 32514

8333 N Davis Hwy
#1
Pensacola, FL 32514

Practitioners & affiliated clinicians

Practitioners 36

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.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1477501153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11037",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325241037",
            "telephone_number": "850-444-7000",
            "fax_number": "850-444-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4304 LANCASTER DR",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325784563",
            "telephone_number": "850-862-2385",
            "fax_number": "850-862-0482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENSACOLA NEPHROLOGY, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PENSACOLA NEPHROLOGY, PA",
        "enumeration_date": "2006-05-04",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "DANSBY",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "850-444-4700"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renalus Center for Kidney Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Niceville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.