George B. Antonious, MD
Individual provider Active NPI Nephrology Physician · Pensacola, FL
NPI 1790761245 · NPPES record last updated Jul 1, 2025
Key facts
- NPI
- 1790761245
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- ME82874 (FL)
- Practice address
- 1619 Creighton Rd
Pensacola, FL 32504-7152 - Phone
- (850) 444-4700
- Fax
- (850) 444-7497
- NPI assigned
- Dec 16, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Pensacola Nephrology PA
Practice addresses (Care Compare)
1121 Belleview Ave
Brewton, AL 36426-1500
Phone (850) 444-4700
1619 Creighton Rd
Suite 1
Pensacola, FL 32504-7152
Phone (850) 444-4700
Hospital & facility affiliations
- DaVita West Florida Dialysis
- DaVita Home Options of Pensacola (PD)
- DaVita Santa Rosa Dialysis
- DaVita Brewton Dialysis
- DaVita West Pensacola Dialysis Center
- Sacred Heart Hospital
- HCA Florida West Hospital
- Baptist Hospital
- Gulf Breeze Hospital
- D W McMillan Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AL, FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050912000782 | AL | Practitioner - Nephrology | 2062445042 | Reassigns benefits to 1 organization |
| I20051117000246 | FL | Practitioner - Nephrology | 2062445042 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pensacola Nephrology, PA | Nephrology | Current |
Accepting new patients |
| Pensacola Nephrology, PA | Nephrology | Current |
Accepting new patients |
| Pensacola Nephrology, PA | Nephrology | Past | Accepting new patients |
| West Florida Medical Center Clinic PA | Past | Accepting new patients |
Locations
401 S 8th Ave
Atmore, AL 36502
Phone (251) 368-2500
807 E Craig St
Atmore, AL 36502
Phone (251) 368-5593
406 Medical Park Dr
Atmore, AL 36502
Phone (251) 368-6245
1023 Douglas Ave
Ste 300
Brewton, AL 36426
Phone (251) 867-8509
1121 Belleville Ave
Brewton, AL 36426
Phone (251) 809-3180
100 Lewis St
Evergreen, AL 36401
Phone (251) 445-4797
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
1118 Gulf Breeze Pkwy
Ste 202
Gulf Breeze, FL 32561
Phone (850) 416-2340
14114 Alabama St
Jay, FL 32565
Phone (850) 675-8000
5819 Highway 90
Milton, FL 32583
Phone (850) 623-8299
5149 N 9th Ave
Ste G35
Pensacola, FL 32504
Phone (850) 471-1445
700 E Cervantes St
Pensacola, FL 32501
Phone (850) 477-4700
1619 Creighton Rd
Ste 1
Pensacola, FL 32504
Phone 85044447001730
8333 N Davis Hwy
Fl 2
Pensacola, FL 32514
Phone (850) 474-8719
2940 N Blue Angel Pkwy
Pensacola, FL 32506
Phone (850) 453-3658
123 Baptist Way
Pensacola, FL 32503
Phone (850) 434-4011
8333 N Davis Hwy
Pensacola, FL 32514
Phone (850) 474-8000
598 N Fairfield Dr
Ste 3
Pensacola, FL 32506
5401 Corporate Woods Dr
Ste 850
Pensacola, FL 32504
Phone (850) 484-8646
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ME82874 | FL | Yes |
Addresses
Primary practice location
1619 Creighton Rd
Pensacola, FL 32504-7152
Mailing address
PO Box 11037
Pensacola, FL 32524-1037
Phone (850) 444-4700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009935446 | Medicaid | AL | |
| 01187 | Other | FL | BLUE CROSS BLUE SHIELD |
| 591-83784 | Other | AL | BLUE CROSS BLUE SHIELD |
| 261961000 | Medicaid | FL | |
| 7167253 | Other | AETNA |
Other providers in Pensacola, FL
- Ana Marie Antonetti
- Callah Antonetti
- Emilio A. Antonetti
- Scott Antonio
- Daniel Antonious
- Anytime Stat Lab LLC
- Lauren Marie Anzaldo
- Apex Psychiatric Services, LLC
- Kimberly Apongan
- Hector R Aponte
All providers in Pensacola, FL · Nephrology Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.