Organization Active NPI

Pensacola Lung Group, M.D.'S, P.a.

  • Specialist
  • Pensacola, FL
National Provider Identifier
1619196151
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2019

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20041019001056 FL Part B Supplier - Clinic/Group Practice 7517928062 Receives reassigned benefits from 36 practitioners
Practice locations: Pensacola, FL

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
10D0271071Pensacola Lung Group4700 Bayou Blvd Ste 6, Pensacola, FL 32503Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

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.

View all 39

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

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.

Verify at the official NPI Registry.