Samuel R Greenlee II, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME0058619 Issued in FL

Practice address

1500 N Pace Blvd
Pensacola, FL 32505-6467

Phone

(850) 435-8998

Fax

(850) 435-8995

NPI assigned

Sep 28, 2006

Last updated

Nov 16, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Pace Blvd Family Practice PA

  • Primary Care Clinic/Center
  • Pensacola, FL
  • NPI 1952572158
  Authorized official Same address or phone

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195171200000",
    "number": "1871685925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N PACE BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325056467",
            "telephone_number": "850-435-8998",
            "fax_number": "850-435-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N PACE BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325056467",
            "telephone_number": "850-435-8998",
            "fax_number": "850-435-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENLEE",
        "first_name": "SAMUEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0058619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shauna Healy Greene, M.S.W.
• Susan Y Greene, CRNP
• Jacob M Greenfield, DC
• Greenhouse Counseling Corporation
• Max Edwin Greenlee, RPH
• Kayla Morgan Greenwell, PHARMD
• Anna Gregorius
• Brian D. Gregory, MD
• Courtney Gregory
• Sierra Maria Greiner, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.