Individual provider Active NPI

Ashton Lynd Graybiel, M.D.

  • Rheumatology Physician
  • Pensacola, FL
National Provider Identifier
1689724130
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
ME0019255 Issued in FL
Practice address
2441 N 9TH Ave
Suite a
Pensacola, FL 32503-3911
Phone
(850) 434-9992
Fax
(850) 435-2525
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X ME0019255 FL Primary

Addresses

Primary practice location

2441 N 9TH Ave
Suite a
Pensacola, FL 32503-3911

Mailing address

2441 N 9TH Ave
Suite a
Pensacola, FL 32503-3911
Phone (850) 434-9992

Other identifiers 4

IdentifierTypeStateIssuer
ME0019255OtherFLMEDICAL LICENSURE NUMBER
054149400MedicaidFL
59002286OtherALBC BS ALABAMA
3206912OtherFLUNITED HEALTH CARE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051110000006 FL Practitioner - Rheumatology 7214955186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Wake Forest University School of Medicine, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sacred Heart Health System IncGroup PAC ID 3779491386, 373 clinicians

Practice addresses (Care Compare)

7720 US Hwy 98 W
Suite 210
Miramar Beach, FL 32550-7231
Phone (850) 416-2477

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0019255FLMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Health System Inc CurrentSince Oct 1, 2015 Accepting new patients
Sacred Heart Health System, Inc. CurrentSince Oct 1, 2015 Accepting new patients
Sacred Heart Health System, Inc. Current Accepting new patients

Locations

36500 Emerald Coast Pkwy
Destin, FL 32541
Phone (850) 269-0301

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

7720 US Highway 98 W
Ste 110
Miramar Beach, FL 32550
Phone (850) 267-1603

7720 US Highway 98 W
Ste 210
Miramar Beach, FL 32550
Phone (850) 608-6490

5045 Carpenter Creek Dr
Pensacola, FL 32503
Phone (850) 416-2400

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

2441 N 9th Ave
Ste A
Pensacola, FL 32503
Phone (850) 434-9992

Interoperability endpoints

  • Direct secure messaging: ashton.graybiel.1@9582.direct.athenahealth.com

Organizations & group practices 3

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.

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1689724130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 N 9TH AVE",
            "address_2": "SUITE A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325033911",
            "telephone_number": "850-434-9992",
            "fax_number": "850-435-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 N 9TH AVE",
            "address_2": "SUITE A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325033911",
            "telephone_number": "850-434-9992",
            "fax_number": "850-435-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAYBIEL",
        "first_name": "ASHTON",
        "middle_name": "LYND",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME0019255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSURE NUMBER",
            "identifier": "ME0019255",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054149400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC  BS ALABAMA",
            "identifier": "59002286",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "3206912",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.