NPIMap

Organization Active NPI

Gastroenterology Associates of Pensacola PA

  • Gastroenterology Physician
  • Atmore, AL
National Provider Identifier
1750060893
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GASTROENTEROLOGY ASSOCIATES OF PENSACOLA PA
Practice address
401 Medical Park Dr
Atmore, AL 36502-3006
Phone
(850) 477-2597
Fax
(866) 939-1533
NPI assigned
Jul 17, 2023
Last updated
May 16, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
GASTROENTEROLOGY ASSOCIATES OF PENSACOLA PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Authorized official

Name
Alan Oliver, CEO
Title
Ceo
Phone
(786) 530-3820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X NU Primary

Addresses

Primary practice location

401 Medical Park Dr
Atmore, AL 36502-3006

Mailing address

9500 S Dadeland Blvd Ste 200
Miami, FL 33156-2866
Phone (305) 468-4185

Other names 1

  • FLN001A Other name

National Provider Directory

National Provider Directory
Tax ID family
Gastroenterology Aso25 organizations share this tax ID, including this one
Part of
Gastroenterology Aso

Other organizations with this tax ID 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1750060893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 S DADELAND BLVD STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562866",
            "telephone_number": "305-468-4185",
            "fax_number": "305-675-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MEDICAL PARK DR",
            "city": "ATMORE",
            "state": "AL",
            "postal_code": "365023006",
            "telephone_number": "850-477-2597",
            "fax_number": "866-939-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY ASSOCIATES OF PENSACOLA PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GASTROENTEROLOGY ASSOCIATES OF PENSACOLA PA",
        "enumeration_date": "2023-07-17",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-530-3820",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FLN001A",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "FLN001A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Atmore, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; 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.