Individual provider Active NPI

Seth Gregory Myers, MD

  • Pediatrics Physician
  • Pensacola, FL
National Provider Identifier
1619469186
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
287395 Issued in MA
Practice address
Community Health Northwest Florida
1295 W. Fairfield Drive
Pensacola, FL 32501
Phone
(850) 941-7841
Fax
(850) 332-0155
NPI assigned
May 31, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 287395 MA Primary
Student in an Organized Health Care Education/Training Program 390200000X TRAINING FL

Addresses

Primary practice location

Community Health Northwest Florida
1295 W. Fairfield Drive
Pensacola, FL 32501

Mailing address

University of Florida Pediatric Residency
5153 North 9TH Ave, 6TH Floor Nemours
Pensacola, FL 32504
Phone (850) 941-7841

Other practice location 1

Sacred Heart Hospital
5151 North 9th Ave
Pensacola, FL 32504
Phone (850) 416-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210629001185 MA Practitioner - Pediatric Medicine 5890196828 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TRAININGFLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates Pediatrics, P.C. CurrentSince Mar 26, 2021 Accepting new patients

Locations

100 Hospital Rd
Ste 4A
Leominster, MA 01453
Phone (978) 514-6300

100 Hospital Rd
Ste 4
Leominster, MA 01453
Phone (978) 514-6300

Interoperability endpoints

  • Direct secure messaging: smyers33004@direct.chppoc.masshiway.net

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1619469186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF FLORIDA PEDIATRIC RESIDENCY",
            "address_2": "5153 NORTH 9TH AVE, 6TH FLOOR NEMOURS",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32504",
            "telephone_number": "850-941-7841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMMUNITY HEALTH NORTHWEST FLORIDA",
            "address_2": "1295 W. FAIRFIELD DRIVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32501",
            "telephone_number": "850-941-7841",
            "fax_number": "850-332-0155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Sacred Heart Hospital",
            "address_2": "5151 North 9th Ave",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "32504",
            "country_code": "US",
            "telephone_number": "850-416-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYERS",
        "first_name": "SETH",
        "middle_name": "GREGORY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-31",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "287395",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "TRAINING",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.