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PENSACOLA NEPHROLOGY PA
NPI 1053252684
Internal Medicine - Nephrology in Freeport, FL

Active since April 06, 2026CLIA 10D2020855 · Microscopy
67 JOE CAMPBELL RD, FREEPORT, FL 32439(850) 862-2385 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Pensacola Nephrology Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENSACOLA NEPHROLOGY PA (NPI 1053252684) is a healthcare organization registered as a nephrology in Freeport, Florida and active in the NPI registry since April 2026. The organization holds a CLIA Microscopy certificate valid through February 28, 2027 and lists Amanda Roberson, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1053252684
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NamePENSACOLA NEPHROLOGY PA
Location Address67 JOE CAMPBELL RDFreeport, FL 32439-4418
Mailing Address67 Joe Campbell RdFreeport, FL 32439-4418
Phone(850) 862-2385
Organization SubpartNo
Authorized OfficialAmanda RobersonCredentialing Specialist · (850) 444-4700
Enumeration DateApril 6, 2026
NPPES CertifiedApril 6, 2026
✔ NPI 1053252684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
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.
67 JOE CAMPBELL RD, Freeport, FL 32439
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 10D2020855

Pensacola Nephrology PA Dba Renalus Center For Kidney Care · Pensacola, FL
Active · expires Feb 28, 2027
CLIA Number10D2020855
Laboratory TypePhysician Office
Certificate Effective DateMarch 1, 2025
Certificate Expiration DateFebruary 28, 2027
Laboratory DirectorEdward Frieland
Laboratory Phone(850) 444-4700
Laboratory LocationPensacola Nephrology PA Dba Renalus Center For Kidney Care1619 Creighton Rd, Pensacola, FL 32504
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pensacola Nephrology PA's NPI number?

The NPI number for Pensacola Nephrology PA is 1053252684. It was assigned to this organization in the NPPES registry on April 6, 2026.

Where is Pensacola Nephrology PA located?

Pensacola Nephrology PA is located at 67 Joe Campbell Rd, Freeport, FL 32439. The listed phone number is (850) 862-2385.

What is Pensacola Nephrology PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Does Pensacola Nephrology PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 10D2020855) is associated with this NPI, valid through February 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pensacola Nephrology PA accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Pensacola Nephrology PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pensacola Nephrology PA was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.