Active NPI
Penelope Maynard, M.D.
- General Practice Physician
- Pensacola, FL
National Provider Identifier
1558333450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- C-5264
- Practice address
- 760 East Ave
Suite a
Pensacola, FL 32508-5136 - Phone
- (850) 452-8970
- Fax
- (850) 452-8978
- NPI assigned
- Feb 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | C-5264 | AR | Primary |
Addresses
Primary practice location
760 East Ave
Suite a
Pensacola, FL 32508-5136
Mailing address
760 East Ave
Suite a
Pensacola, FL 32508-5136
Phone (850) 452-8970
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-5264 | AR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NHC Pensacola | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Pensacola Nattc BMC Phcy
- Military/U.S. Coast Guard Pharmacy
- Pensacola, FL
- NPI 1912004763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1558333450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 EAST AVE",
"address_2": "SUITE A",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325085136",
"telephone_number": "850-452-8970",
"fax_number": "850-452-8978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 EAST AVE",
"address_2": "SUITE A",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325085136",
"telephone_number": "850-452-8970",
"fax_number": "850-452-8978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYNARD",
"first_name": "PENELOPE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "AR",
"license": "C-5264",
"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 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.