CHILD NEUROLOGY CENTER OF NORTHWEST FLORIDA PA
NPI 1053392233
General Practice in Gulf Breeze, FL
About Child Neurology Center Of Northwest Florida Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHILD NEUROLOGY CENTER OF NORTHWEST FLORIDA PA (NPI 1053392233) is a healthcare organization registered as a general practice in Gulf Breeze, Florida and active in the NPI registry since November 2005. The organization maintains a secondary practice location in Miramar Beach and lists James Ben Renfroe, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Child Neurology Center Of Northwest Florida Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Child Neurology Center Of Northwest Florida PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Gulf Breeze, FL 32561
Gulf Breeze, FL 32561
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Child Neurology Center Of Northwest Florida PA's NPI number?
The NPI number for Child Neurology Center Of Northwest Florida PA is 1053392233. It was assigned to this organization in the NPPES registry on November 7, 2005.
Where is Child Neurology Center Of Northwest Florida PA located?
Child Neurology Center Of Northwest Florida PA is located at 400 Gulf Breeze Pkwy Suite 300, Gulf Breeze, FL 32561. The listed phone number is (850) 932-5055.
What is Child Neurology Center Of Northwest Florida PA's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Child Neurology Center Of Northwest Florida PA enrolled in Medicare?
Yes. Child Neurology Center Of Northwest Florida PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Child Neurology Center Of Northwest Florida PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Neurology, reassign their Medicare billing to Child Neurology Center Of Northwest Florida PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Child Neurology Center Of Northwest Florida PA accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Child Neurology Center Of Northwest Florida 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 Child Neurology Center Of Northwest Florida PA was last updated on January 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Child Neurology Center Of Northwest Florida Pa · NPI 1053392233
General Practice organization in Gulf Breeze, Florida. Organization record, active in the CMS NPPES registry since November 7, 2005.
## Identity
- **NPI:** 1053392233 (Entity type: Organization)
- **Enumerated:** November 7, 2005
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** James Renfroe, OWNER
## Practice location
- **Address:** 400 GULF BREEZE PKWY, SUITE 300, Gulf Breeze, FL 32561-4495
- **Phone:** (850) 932-5055 · **Fax:** (850) 932-1401
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Neurology) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 20, 2025
- **Other identifiers:** Medicaid 529918930 (AL); Medicaid 257889100 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1053392233) · Data from the CMS NPPES public registry.