Tracey Elizabeth Pinkston, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME96389 Issued in FL

Practice address

4300 Bayou Blvd
Suite 5
Pensacola, FL 32503-1949

Phone

(850) 473-1008

Fax

(850) 473-1009

NPI assigned

Jul 29, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tracey Elizabeth Jones Pinkston Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2019 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• West Florida Medical Center Clinic PA

  • Ambulatory Surgical Clinic/Center
  • Pensacola, FL
  • NPI 1043396245
  NPD (past)

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242691200000",
    "number": "1801801733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 BAYOU BLVD",
            "address_2": "SUITE 5",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325031949",
            "telephone_number": "850-473-1008",
            "fax_number": "850-473-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 BAYOU BLVD",
            "address_2": "SUITE 5",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325031949",
            "telephone_number": "850-473-1008",
            "fax_number": "850-473-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINKSTON",
        "first_name": "TRACEY",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2009-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME96389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF FL",
            "identifier": "56044",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACEY",
            "last_name": "JONES PINKSTON",
            "middle_name": "ELIZABETH",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Anthony G Pietroniro, M.D.
• Jamie W Pileggi, P.T.A.
• Elaine Marcia Pinder
• Pine Forest H&R LLC
• Cyntorry Pinkerton
• Pinnacle Physicians LLC
• Michele Catherine Pino Sr., MS, RD, LD
• James Robert Piorkowski, MD
• Giovanni Piovesana, M.D.
• Charles Pipkin, LCSW # SW 17370

• Internal Medicine Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.