Individual provider Active NPI

Tansley Ducote

  • Family Medicine Physician
  • Pensacola, FL
National Provider Identifier
1639870884
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11025233 Issued in FL
Practice address
3504 Mossy Oak Villas Cir
Pensacola, FL 32514-4770
Phone
(850) 686-7533
NPI assigned
Mar 14, 2023
Last updated
Mar 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11025233 FL Primary

Addresses

Primary practice location

3504 Mossy Oak Villas Cir
Pensacola, FL 32514-4770

Mailing address

3504 Mossy Oak Villas Cir
Pensacola, FL 32514-4770
Phone (850) 686-7533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230529000095 FL Practitioner - Nurse Practitioner 8224495775 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiac Vision LLCGroup PAC ID 9032349733, 66 clinicians

Practice addresses (Care Compare)

6817 Southpoint Pkwy
Suite 203
Jacksonville, FL 32216-6286
Phone (904) 231-1204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11025233FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiac Vision LLC CurrentSince Jul 4, 2025 Accepting new patients
Select Specialty Hospital - Pensacola Inc CurrentSince Apr 27, 2023 Accepting new patients
Hospitalist Group of Northwest Florida Inc CurrentSince Apr 17, 2023 Accepting new patients
Select Specialty Hospital - Pensacola Inc Current Accepting new patients
Select Specialty Hospital - Pensacola, Inc. CurrentSince Apr 27, 2023 Accepting new patients
Arthur D Kalman DO PA Past Accepting new patients

Locations

6817 Southpoint Pkwy
Ste 203
Jacksonville, FL 32216
Phone (904) 256-9202

7807 Baymeadows Rd E
Ste 209
Jacksonville, FL 32256
Phone (904) 231-1204

1101 Office Woods Dr
Pensacola, FL 32504
Phone (850) 776-7872

7000 Cobble Crk
Pensacola, FL 32504
Phone (850) 377-5938

1554 Surgeons Dr
Tallahassee, FL 32308
Phone (850) 219-6800

4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1639870884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3504 MOSSY OAK VILLAS CIR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325144770",
            "telephone_number": "850-686-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3504 MOSSY OAK VILLAS CIR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325144770",
            "telephone_number": "850-686-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCOTE",
        "first_name": "TANSLEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "11025233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.