PENSACOLA NEPHROLOGY PA
NPI 1053252684
Internal Medicine - Nephrology in Freeport, FL
NPI Status: Active since April 06, 2026
Contact Information
67 JOE CAMPBELL RD
FREEPORT, FL
ZIP 32439
Phone: (850) 862-2385
- Organization
- Internal Medicine
- Nephrology
- CLIA Number: 10D2020855
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-28-2027
About PENSACOLA NEPHROLOGY PA
This page provides the complete NPI Profile along with additional information for Pensacola Nephrology Pa, an internist established in Freeport, Florida operating as a Internal Medicine, focusing in nephrology . The healthcare provider is registered in the NPI registry with number 1053252684 assigned on April 2026. The practitioner's primary taxonomy code is 207RN0300X. The provider is registered as an organization and their NPI record was last updated April 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Amanda Roberson (Credentialing Specialist)
- NPI
- 1053252684
- Provider Name
- PENSACOLA NEPHROLOGY PA
- Entity Type
- Organization
- Location Address
- 67 JOE CAMPBELL RD FREEPORT, FL 32439
- Location Phone
- (850) 862-2385
- Mailing Address
- 67 JOE CAMPBELL RD FREEPORT, FL 32439
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-06-2026
- Last Update Date
- 04-06-2026
- Code Navigator
An internist like Pensacola Nephrology Pa is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Nephrology
- Taxonomy Code
- 207RN0300X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2020855
- Facility Type
- Physician Office
- Certificate Effective Date
- March 01, 2025
- Certificate Expiration Date
- February 28, 2027
- Laboratory Director
- EDWARD FRIELAND
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Pensacola Nephrology Pa in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1053252684, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053252684, enumerated as an "organization" on April 06, 2026.
The provider is located at 67 JOE CAMPBELL RD FREEPORT, FL 32439 and the phone number is (850) 862-2385.
Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.
