NPIMap

Organization Active NPI

Pediatric Associates PA

  • Pediatrics Physician
  • Pensacola, FL
National Provider Identifier
1730243692
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
114673 Issued in FL
Legal business name
PEDIATRIC ASSOCIATES PA
Practice address
5190 Bayou Blvd Ste 7
Pensacola, FL 32503-2162
Phone
(850) 478-1104
Fax
(850) 478-4289
NPI assigned
Dec 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Neil E McWilliams, MDNPI 1528122538
Title
Pediatrician President
Phone
(850) 478-1104

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 114673 FL Primary

Addresses

Primary practice location

5190 Bayou Blvd Ste 7
Pensacola, FL 32503-2162

Mailing address

5190 Bayou Blvd Ste 7
Pensacola, FL 32503-2162
Phone (850) 478-1104

National Provider Directory

National Provider Directory
Tax ID family
Pediatrics Associates3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5190 Bayou Blvd
Ste 7
Pensacola, FL 32503
Phone (850) 478-1100

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730243692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5190 BAYOU BLVD STE 7",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032162",
            "telephone_number": "850-478-1104",
            "fax_number": "850-478-4289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5190 BAYOU BLVD STE 7",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032162",
            "telephone_number": "850-478-1104",
            "fax_number": "850-478-4289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCWILLIAMS",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PEDIATRICIAN PRESIDENT",
        "authorized_official_telephone_number": "850-478-1104",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "114673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.