Active NPI
Pensacola Lung Group, M.D.'S, P.a.
- Specialist
- Pensacola, FL
National Provider Identifier
1619196151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- PENSACOLA LUNG GROUP, M.D.'S, P.A.
- Practice address
- 4700 Bayou Blvd.
Suite 6
Pensacola, FL 32503 - Phone
- (850) 477-9253
- Fax
- (850) 494-9843
- NPI assigned
- Apr 24, 2007
- Last updated
- May 16, 2019
- 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
- April L. McDaniel
- Title
- Billing Supervisor
- Phone
- (850) 477-9253
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
4700 Bayou Blvd.
Suite 6
Pensacola, FL 32503
Mailing address
4700 Bayou Blvd.
Suite 6
Pensacola, FL 32503
Phone (850) 477-9253
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
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 |
|---|---|---|---|
| 10D0271071 | Pensacola Lung Group | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
4700 Bayou Blvd
Ste 6
Pensacola, FL 32503
Phone (850) 477-9253
Practitioners & affiliated clinicians
Practitioners 39
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.
-
- Pulmonary Disease Physician
- Pensacola, FL
- NPI 1275725178
-
- Pulmonary Disease Physician
- Pensacola, FL
- NPI 1811972359
-
- Pulmonary Disease Physician
- Pensacola, FL
- NPI 1740775980
-
- Nurse Practitioner
- Pensacola, FL
- NPI 1992569909
-
- Family Nurse Practitioner
- Pensacola, FL
- NPI 1134727472
-
- Nurse Practitioner
- Pensacola, FL
- NPI 1750959581
-
- Acute Care Nurse Practitioner
- Pensacola, FL
- NPI 1467079970
-
- Nurse Practitioner
- Gainesville, FL
- NPI 1083196638
-
- Gerontology Nurse Practitioner
- Pensacola, FL
- NPI 1528666864
-
- Nurse Practitioner
- Pensacola, FL
- NPI 1093181125
-
- Acute Care Nurse Practitioner
- Pensacola, FL
- NPI 1215352026
-
- Pulmonary Disease Physician
- Pensacola, FL
- NPI 1801113576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1557964800000",
"number": "1619196151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 BAYOU BLVD.",
"address_2": "SUITE 6",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "32503",
"telephone_number": "850-477-9253",
"fax_number": "850-494-9843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 BAYOU BLVD.",
"address_2": "SUITE 6",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "32503",
"telephone_number": "850-477-9253",
"fax_number": "850-494-9843"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PENSACOLA LUNG GROUP, M.D.'S, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-24",
"last_updated": "2019-05-16",
"status": "A",
"authorized_official_last_name": "MCDANIEL",
"authorized_official_first_name": "APRIL",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "BILLING SUPERVISOR",
"authorized_official_telephone_number": "850-477-9253"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
- Pensacola Hospitalist Physicians, LLC
- Pensacola House Calls,LLC
- Pensacola Imaging, LLC
- Pensacola Internal Medicine
- Pensacola Kids Dentistry
- Pensacola Medical Clinic, LLC
- Pensacola Nephrology, PA (Renalus Center for Kidney Care)
- Pensacola Nephrology, PA (Renalus Center for Kidney Care)
- Pensacola Nephrology, PA (Renalus Center for Kidney Care)
- Pensacola Nephrology, PA (Renalus Center for Kidney Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.