Active NPI
Nephrology Associates of the Gulf Coast, PA
Doing business as Nephrology Associates of the Gulf Coast
- Nephrology Physician
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- NEPHROLOGY ASSOCIATES OF THE GULF COAST, PA
- Doing business as
- Nephrology Associates of the Gulf Coast
- Practice address
- 8333 N Davis Hwy
Pensacola, FL 32514-6050 - Phone
- (850) 474-8121
- Fax
- (850) 474-8096
- NPI assigned
- Dec 16, 2005
- Last updated
- Nov 11, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gary Smith
- Title
- Practice Administrator
- Phone
- (850) 474-8121
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary | ||
| Home Health Agency | 251E00000X |
Addresses
Primary practice location
8333 N Davis Hwy
Pensacola, FL 32514-6050
Mailing address
8333 N Davis Hwy
Pensacola, FL 32514-6050
Phone (850) 474-8121
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 72272 | Other | FL | BLUE CROSS BLUE SHIELD |
| 529927050 | Medicaid | AL | |
| 274039700 | Medicaid | FL |
Other names 1
- Nephrology Associates of the Gulf Coast
National Provider Directory
National Provider DirectoryLocations
1023 Douglas Ave
Brewton, AL 36426
Phone (251) 867-3924
4415 US Highway 331 S
Ste A
Defuniak Springs, FL 32435
1110 Hospital Rd
#1A
Fort Walton Beach, FL 32547
Phone (850) 862-6989
5819 Highway 90
Milton, FL 32583
Phone (850) 623-8299
812 Creighton Rd
Pensacola, FL 32504
Phone (850) 564-6644
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Nurse Practitioner
- Pensacola, FL
- NPI 1619953163
-
- Family Nurse Practitioner
- Pensacola, FL
- NPI 1780673467
-
- Nurse Practitioner
- Rome, GA
- NPI 1962440461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668124800000",
"number": "1477539914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8333 N DAVIS HWY",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325146050",
"telephone_number": "850-474-8121",
"fax_number": "850-474-8096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8333 N DAVIS HWY",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325146050",
"telephone_number": "850-474-8121",
"fax_number": "850-474-8096"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEPHROLOGY ASSOCIATES OF THE GULF COAST, PA",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-16",
"last_updated": "2022-11-11",
"certification_date": "2022-11-07",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "850-474-8121"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "72272",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "529927050",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "274039700",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Nephrology Associates of the Gulf Coast",
"code": "3",
"type": "Doing Business As"
}
]
}
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 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.