Organization Active NPI

Synergy Medical Services, LLC

  • Home Health Agency
  • Pensacola, FL
National Provider Identifier
1609292929
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Nov 15, 2023

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 IncCCN 683196
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Sep 19, 2015
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2082872Synergy Medical Services115 Beverly Parkway, Pensacola, FL 32505Certificate of waiverAug 24, 2026

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Barry Goggans Individual Corporate Officer Feb 21, 2014 50%
W-2 Managing Employee Feb 21, 2014 50%
James Young Individual 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

Verify at the official NPI Registry.