NPIMap

Organization Active NPI

Anchor Multispecialty Group

  • Neurology Physician
  • Pensacola, FL
National Provider Identifier
1528627882
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
ANCHOR MULTISPECIALTY GROUP
Practice address
850 S Palafox St Unit 103
Pensacola, FL 32502-5983
Phone
(850) 433-6760
Fax
(850) 433-1996
NPI assigned
Jun 11, 2019
Last updated
Jul 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Authorized official

Name
Kevin N Groom, PHDNPI 1184717027
Title
Director
Phone
(850) 433-1656

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X
Neurology Physician 2084N0400X Primary

Addresses

Primary practice location

850 S Palafox St Unit 103
Pensacola, FL 32502-5983

Mailing address

890 S Palafox St Unit 300
Pensacola, FL 32502-5905
Phone (850) 433-1656

Other practice location 1

890 S Palafox St Unit 300
Pensacola, FL 32502-5905
Phone (850) 433-1656 ext. 7

Other practice location 2

7552 Navarre Pkwy Unit 61
Navarre, FL 32566-7305
Phone (850) 684-3884

National Provider Directory

National Provider Directory
Tax ID family
The Anchor Clinic LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

7552 Navarre Pkwy
Unit 61
Navarre, FL 32566
Phone (850) 684-3884

890 S Palafox St
Unit 300
Pensacola, FL 32502
Phone (850) 433-1656

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.

NPI Registry JSON

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1528627882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 S PALAFOX ST UNIT 300",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325025905",
            "telephone_number": "850-433-1656",
            "fax_number": "850-433-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 S PALAFOX ST UNIT 103",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325025983",
            "telephone_number": "850-433-6760",
            "fax_number": "850-433-1996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "890 S Palafox St Unit 300",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325025905",
            "country_code": "US",
            "telephone_number": "850-433-1656 x7",
            "fax_number": "850-433-1996",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7552 Navarre Pkwy Unit 61",
            "address_purpose": "LOCATION",
            "city": "Navarre",
            "state": "FL",
            "postal_code": "325667305",
            "country_code": "US",
            "telephone_number": "850-684-3884",
            "fax_number": "850-433-1996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANCHOR MULTISPECIALTY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-11",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "GROOM",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "850-433-1656",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "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 Jul 19, 2023; 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.