Individual provider Active NPI

Jeffrey P Wolters, MD, MPH

  • Urology Physician
  • Pensacola, FL
National Provider Identifier
1679770051
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME114334 Issued in FL
Practice address
4724 N Davis Hwy Ste 100
Pensacola, FL 32503-2339
Phone
(850) 201-2421
Fax
(850) 886-2235
NPI assigned
Jun 29, 2007
Last updated
Aug 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 0101251366 VA
Urology Physician 208800000X ME114334 FL Primary

Addresses

Primary practice location

4724 N Davis Hwy Ste 100
Pensacola, FL 32503-2339

Mailing address

PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 274-8200

Other practice location 1

1301 Belleville Ave
Brewton, AL 36426-1306
Phone (850) 201-2419

Other practice location 2

1549 Airport Blvd Ste 440
Pensacola, FL 32504-8634
Phone (850) 201-2418

Other practice location 3

161 E Nine Mile Rd Ste 100
Pensacola, FL 32534-3140
Phone (850) 201-2422

Other identifiers 1

IdentifierTypeStateIssuer
007159800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130201000097 AL Practitioner - Urology 9335302587 Reassigns benefits to 2 organizations
I20130208000194 FL Practitioner - Urology 9335302587 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Tulane University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woodlands Medical Specialists P aGroup PAC ID 1052469681, 48 clinicians

Practice addresses (Care Compare)

1301 Belleville Ave
Brewton, AL 36426-1306
Phone (850) 696-4000

1549 Airport Blvd
Suite 440
Pensacola, FL 32504-8634
Phone (850) 696-4000

4724 N Davis Hwy
Suite 100
Pensacola, FL 32503-2339
Phone (850) 201-2421

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME114334FLMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Health System, Inc. CurrentSince Sep 4, 2020 Accepting new patients
Woodlands Medical Specialists P a CurrentSince Feb 1, 2013 Accepting new patients
Sacred Heart Health System Inc CurrentSince Sep 4, 2020 Accepting new patients
The Surgery Center at Woodlands, LLC Current Accepting new patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Mar 1, 2026 Accepting new patients
Sacred Heart Health System, Inc. Current Accepting new patients

Locations

1301 Belleville Ave
Brewton, AL 36426
Phone (251) 809-8439

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

1549 Airport Blvd
Ste 440
Pensacola, FL 32504
Phone (850) 201-2418

161 E Nine Mile Rd
Pensacola, FL 32534

161 E Nine Mile Rd
#100
Pensacola, FL 32534
Phone (850) 201-2422

4501 N Davis Hwy
Ste A
Pensacola, FL 32503
Phone (850) 476-9000

4724 N Davis Hwy
Pensacola, FL 32503
Phone (850) 444-4716

4724 N Davis Hwy
#100
Pensacola, FL 32503
Phone (850) 201-2421

4724 N Davis Hwy
Ste 100
Pensacola, FL 32503
Phone (850) 201-2421

4724 N Davis Hwy
Ste 301
Pensacola, FL 32503
Phone (850) 444-9702

5149 N 9th Ave
Ste 246
Pensacola, FL 32504
Phone (850) 416-1080

1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780

Interoperability endpoints

  • Direct secure messaging: jeff.wolters@woodlands.ikm.direct-ci.com

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1679770051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-274-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4724 N DAVIS HWY STE 100",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032339",
            "telephone_number": "850-201-2421",
            "fax_number": "850-886-2235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Belleville Ave",
            "address_purpose": "LOCATION",
            "city": "Brewton",
            "state": "AL",
            "postal_code": "364261306",
            "country_code": "US",
            "telephone_number": "850-201-2419",
            "fax_number": "251-930-6028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1549 Airport Blvd Ste 440",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325048634",
            "country_code": "US",
            "telephone_number": "850-201-2418",
            "fax_number": "850-886-2101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "161 E Nine Mile Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325343140",
            "country_code": "US",
            "telephone_number": "850-201-2422",
            "fax_number": "850-886-2229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLTERS",
        "first_name": "JEFFREY",
        "middle_name": "P",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "VA",
            "license": "0101251366",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME114334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007159800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.