Individual provider Active NPI

John D Cheatwood, CRNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1669984845
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11004292 Issued in FL
Practice address
305 Corday St
Pensacola, FL 32503-2214
Phone
(448) 227-2100
NPI assigned
Oct 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11004292 FL Primary

Addresses

Primary practice location

305 Corday St
Pensacola, FL 32503-2214

Mailing address

PO Box 95590
South Jordan, UT 84095-0590

Other practice location 1

1221 W Lakeview Ave
Pensacola, FL 32501-1836
Phone (850) 469-3500

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
I20201210000926 FL Practitioner - Nurse Practitioner 6709132210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Medical Group LLCGroup PAC ID 9638215734, 258 clinicians

Practice addresses (Care Compare)

1040 Gulf Breeze Pkwy
Suite 204
Gulf Breeze, FL 32561-7808
Phone (850) 469-7771

Merit-based Incentive Payment System (MIPS)

Final score
81.01 of 100Reported as group
Quality
62.34
Promoting interoperability
95
Improvement activities
40
Cost
78.51

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Medical Group LLC CurrentSince Mar 1, 2023 Accepting new patients
Baptist Medical Group LLC CurrentSince Mar 1, 2023 Accepting new patients

Locations

1040 Gulf Breeze Pkwy
Ste 204
Gulf Breeze, FL 32561
Phone (850) 469-7771

9400 University Pkwy
Ste 409
Pensacola, FL 32514
Phone (850) 994-7256

123 Baptist Way
Pensacola, FL 32503
Phone (850) 434-4011

305 Corday St
Pensacola, FL 32503
Phone (448) 227-8478

Organizations & group practices 2

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": "1509148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1669984845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95590",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840950590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 CORDAY ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032214",
            "telephone_number": "448-227-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 W Lakeview Ave",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325011836",
            "country_code": "US",
            "telephone_number": "850-469-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEATWOOD",
        "first_name": "JOHN",
        "middle_name": "D",
        "credential": "CRNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-28",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11004292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.