Active NPI
Synergy Medical Services, LLC
- Home Health Agency
- Pensacola, FL
National Provider Identifier
1609292929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- SYNERGY MEDICAL SERVICES, LLC
- Practice address
- 115 Beverly Pkwy
Pensacola, FL 32505-2815 - Phone
- (850) 696-2282
- Fax
- (850) 975-0133
- NPI assigned
- Mar 11, 2014
- 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
- Lakeisha Ekie
- Title
- Administrator
- Phone
- (850) 898-1810
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
115 Beverly Pkwy
Pensacola, FL 32505-2815
Mailing address
115 Beverly Pkwy
Pensacola, FL 32505-2815
Phone (850) 696-2282
Other names 1
- Synergy Medical Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150327000218 | FL | Part A Provider - Home Health Agency | 6709103971 | Practice locations: Pensacola, FL |
Home health agency certification: CCN 683196
- Legal name
- SYNERGY MEDICAL SERVICES LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Sep 19, 2015
- Last certification
- Sep 14, 2018
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Feb 21, 2014 in FL
- Enrollment address
- 115 Beverly Pkwy
Pensacola, FL 32505-2815
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Synergy Medical Services Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Sep 19, 2015
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2082872 | Synergy Medical Services | Certificate of waiver | Aug 24, 2026 |
National Provider Directory
National Provider DirectoryLocations
115 Beverly Pkwy
Pensacola, FL 32505
Phone (850) 696-2282
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Barry Goggans | Corporate Officer | Feb 21, 2014 | 50% |
| W-2 Managing Employee | Feb 21, 2014 | 50% | |
| James Young | 5% Or Greater Direct Ownership Interest | Feb 21, 2014 | 50% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700006400000",
"number": "1609292929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 BEVERLY PKWY",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325052815",
"telephone_number": "850-696-2282",
"fax_number": "866-579-4543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 BEVERLY PKWY",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325052815",
"telephone_number": "850-696-2282",
"fax_number": "850-975-0133"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYNERGY MEDICAL SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-11",
"last_updated": "2023-11-15",
"certification_date": "2023-11-15",
"status": "A",
"authorized_official_last_name": "EKIE",
"authorized_official_first_name": "LAKEISHA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "850-898-1810"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Synergy Medical Services",
"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 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.