Individual provider Active NPI

Scott Allen Thomas, CNP

  • Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1750629895
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9431396 Issued in FL
Practice address
1619 Creighton Rd Ste 1
Pensacola, FL 32504-7152
Phone
(850) 444-7000
NPI assigned
Jan 24, 2013
Last updated
Dec 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN9431396 FL Primary

Addresses

Primary practice location

1619 Creighton Rd Ste 1
Pensacola, FL 32504-7152

Mailing address

PO Box 11037
Pensacola, FL 32524-1037
Phone (850) 444-4700

Other practice location 1

1717 N E St Ste 403
Pensacola, FL 32501-6334
Phone (850) 444-4700

Other practice location 2

2940 N Blue Angel Pkwy
Pensacola, FL 32506-2925
Phone (850) 444-4700

Other practice location 3

5149 N 9th Ave Ste G35
Pensacola, FL 32504-8733
Phone (850) 444-4700

Other practice location 4

6001 Industrial Blvd
Century, FL 32535-3312
Phone (850) 444-4700

Other practice location 5

221 E Redstone Ave
Crestview, FL 32539-5373
Phone (850) 444-4700

Other practice location 6

2583 Gulf Breeze Pkwy
Gulf Breeze, FL 32563-3043
Phone (850) 444-4700

Other practice location 7

14114 Alabama St
Jay, FL 32565-1219
Phone (850) 444-4700

Other practice location 8

5934 Berryhill Medical Park Dr # 1
Milton, FL 32570
Phone (850) 623-4771

Other practice location 9

319 Green Acres Rd
Fort Walton Beach, FL 32547-1170
Phone (850) 862-2385

Other practice location 10

5147 N 9th Ave Ste 103
Pensacola, FL 32504-8770
Phone (850) 416-1900

Other identifiers 1

IdentifierTypeStateIssuer
018340500MedicaidFL

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
I20160927000380 FL Practitioner - Nurse Practitioner 1254574346 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pensacola Nephrology PAGroup PAC ID 7214832856, 37 clinicians

Practice addresses (Care Compare)

123 Baptist Way
Pensacola, FL 32503-2254
Phone (850) 469-2313

1619 Creighton Rd
Suite 1
Pensacola, FL 32504-7152
Phone (850) 444-4700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9431396FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Physician Associates LLC Nurse Practitioner CurrentSince Sep 26, 2016 Accepting new patients
Pensacola Hospitalist Physicians, LLC CurrentSince Jan 1, 2021 Accepting new patients
Pensacola Nephrology, PA CurrentSince May 3, 2021 Accepting new patients
Pensacola Hospitalist Physicians, LLC CurrentSince Jan 1, 2021 Accepting new patients
Pensacola Nephrology, PA CurrentSince May 3, 2021 Accepting new patients
Sacred Heart Health System, Inc. Current Accepting new patients
Renal Care Group of the Southeast, Inc. Past Accepting new patients

Locations

6001 Industrial Blvd
Century, FL 32535
Phone (251) 943-2300

221 E Redstone Ave
Crestview, FL 32539
Phone (850) 398-6606

319 Green Acres Rd
#103
Fort Walton Beach, FL 32547

2583 Gulf Breeze Pkwy
Gulf Breeze, FL 32563
Phone (850) 934-1951

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

14114 Alabama St
Jay, FL 32565
Phone (850) 675-8000

1000 W Moreno St
Pensacola, FL 32501
Phone (850) 434-4011

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

1619 Creighton Rd
Ste 1
Pensacola, FL 32504
Phone 85044447001730

1717 N E St
Ste 403
Pensacola, FL 32501

2940 N Blue Angel Pkwy
Pensacola, FL 32506
Phone (850) 453-3658

5149 N 9th Ave
Ste G35
Pensacola, FL 32504
Phone (850) 471-1445

9400 University Pkwy
Ste 101B
Pensacola, FL 32514
Phone (850) 208-6130

1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 7

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 2

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": "1358985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1750629895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11037",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325241037",
            "telephone_number": "850-444-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 CREIGHTON RD STE 1",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325047152",
            "telephone_number": "850-444-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 N E St Ste 403",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325016334",
            "country_code": "US",
            "telephone_number": "850-444-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2940 N Blue Angel Pkwy",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325062925",
            "country_code": "US",
            "telephone_number": "850-444-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5149 N 9th Ave Ste G35",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325048733",
            "country_code": "US",
            "telephone_number": "850-444-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6001 Industrial Blvd",
            "address_purpose": "LOCATION",
            "city": "Century",
            "state": "FL",
            "postal_code": "325353312",
            "country_code": "US",
            "telephone_number": "850-444-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "221 E Redstone Ave",
            "address_purpose": "LOCATION",
            "city": "Crestview",
            "state": "FL",
            "postal_code": "325395373",
            "country_code": "US",
            "telephone_number": "850-444-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2583 Gulf Breeze Pkwy",
            "address_purpose": "LOCATION",
            "city": "Gulf Breeze",
            "state": "FL",
            "postal_code": "325633043",
            "country_code": "US",
            "telephone_number": "850-444-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14114 Alabama St",
            "address_purpose": "LOCATION",
            "city": "Jay",
            "state": "FL",
            "postal_code": "325651219",
            "country_code": "US",
            "telephone_number": "850-444-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5934 Berryhill Medical Park Dr # 1",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "FL",
            "postal_code": "32570",
            "country_code": "US",
            "telephone_number": "850-623-4771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "319 Green Acres Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325471170",
            "country_code": "US",
            "telephone_number": "850-862-2385",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5147 N 9th Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325048770",
            "country_code": "US",
            "telephone_number": "850-416-1900",
            "fax_number": "850-416-1912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SCOTT",
        "middle_name": "ALLEN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-24",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9431396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018340500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.