Active NPI
Fresenius Vascular Care of Pensacola ASC LLC
Doing business as Azura Surgery Center Renalus Pensacola
- Ambulatory Surgical Clinic/Center
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- FRESENIUS VASCULAR CARE OF PENSACOLA ASC LLC
- Doing business as
- Azura Surgery Center Renalus Pensacola
- Practice address
- 1619 Creighton Rd
Pensacola, FL 32504-7152 - Phone
- (850) 466-3843
- NPI assigned
- Jan 31, 2017
- Last updated
- Jul 31, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregg Arthur Miller, MD
- Title
- Authorized Official
- Phone
- (717) 515-4048
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | NU | Primary |
Addresses
Primary practice location
1619 Creighton Rd
Pensacola, FL 32504-7152
Mailing address
PO Box 419639
Boston, MA 02241-9639
Phone (610) 644-8900
Other names 1
- Azura Surgery Center Renalus Pensacola
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170629000153 | FL | Part B Supplier - Ambulatory Surgical Center | 6800165267 | Practice locations: Pensacola, FL |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Fresenius Vascular Care of Pensacola ASC LLC
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryMember of 3
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Azura Vascular Care Renalus Pensacola
- Vascular & Interventional Radiology Physician
- Pensacola, FL
- NPI 1285031963
Member Of
-
dba Renalus Center for Kidney Care
- Nephrology Physician
- Crestview, FL
- NPI 1033167374
Member Of
-
dba Renal Care Center of North Georgia Bma
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Canton, GA
- NPI 1871605600
Member Of
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nephrology Physician
- Brooklyn, NY
- NPI 1942273560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785456000000",
"number": "1881131621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 419639",
"city": "BOSTON",
"state": "MA",
"postal_code": "022419639",
"telephone_number": "610-644-8900",
"fax_number": "484-924-0053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1619 CREIGHTON RD",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325047152",
"telephone_number": "850-466-3843"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRESENIUS VASCULAR CARE OF PENSACOLA ASC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-31",
"last_updated": "2026-07-31",
"certification_date": "2026-07-31",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "GREGG",
"authorized_official_middle_name": "ARTHUR",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "717-515-4048",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Azura Surgery Center Renalus Pensacola",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.