1. Home
  2. Directory
  3. Florida
  4. Pensacola
  5. Clinic Center
  6. NPI Profile

12TH AVENUE PEDIATRICS
NPI 1073842456
Clinic/Center - Federally Qualified Health Center (FQHC) in Pensacola, FL

Active since December 15, 2009CLIA 10D1041026 · Waiver
2510 N 12TH AVE, PENSACOLA, FL 32503(850) 471-0508(850) 471-0510 Get Directions Write a Review

NPPES record last updated: November 30, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 30, 2018, Dec 7, 2015 (2 updates tracked since 2015).

About 12th Avenue Pediatrics NPPES

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

12TH AVENUE PEDIATRICS (NPI 1073842456) is a healthcare organization registered as a federally qualified health center (fqhc) in Pensacola, Florida and active in the NPI registry since December 2009. The organization holds a CLIA Waiver certificate valid through May 23, 2027 and lists Chandra Smiley, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1073842456
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameESCAMBIA COMMUNITY CLINICS INC
Location Address2510 N 12TH AVEPensacola, FL 32503
Mailing Address2315 W Jackson StPensacola, FL 32505-7552 · (850) 436-4630 · Fax (850) 436-2095
Phone(850) 471-0508
Fax(850) 471-0510
Organization SubpartYes
Authorized OfficialChandra SmileyExecutive Director · (850) 436-4630
Enumeration DateDecember 15, 2009
Last NPPES UpdateNovember 30, 20182 updates tracked since enumeration
✔ NPI 1073842456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
2510 N 12TH AVE, Pensacola, FL 32503
Open in Google Maps ↗

Other Names 1

Doing Business As12th Avenue Pediatrics

Other Identifiers 1

Medicaid692990705FL

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 of Waiver 10D1041026

Escambia Community Clinics, Inc Dba Chnwf · Pensacola, FL
Active · expires May 23, 2027
CLIA Number10D1041026
Laboratory TypePhysician Office
Certificate Effective DateMay 24, 2025
Certificate Expiration DateMay 23, 2027
Laboratory DirectorJoseph Klawitter
Laboratory Phone(850) 871-0508
Laboratory LocationEscambia Community Clinics, Inc Dba Chnwf2510 N 12th Ave, Pensacola, FL 32503
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAMELA CARR LCSW
Social Worker (Clinical)
2510 N 12TH AVE
PENSACOLA, FL 32503
Escambia County (850) 471-0508
QUETHELINE M HELVETIUS-LANZA MD
Pediatrics
2510 N 12TH AVE
PENSACOLA, FL 32503
Escambia County (850) 471-0508
LISA D. TUCKER, M.D., P.A.
Obstetrics & Gynecology
2510 N 12TH AVE
PENSACOLA, FL 32503
Escambia County (850) 432-7310

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 Escambia Community Clinics Inc's NPI number?

The NPI number for Escambia Community Clinics Inc is 1073842456. It was assigned to this organization in the NPPES registry on December 15, 2009. The provider is doing business as 12th Avenue Pediatrics.

Where is Escambia Community Clinics Inc located?

Escambia Community Clinics Inc is located at 2510 N 12th Ave, Pensacola, FL 32503. The listed phone number is (850) 471-0508.

What is Escambia Community Clinics Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Escambia Community Clinics Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1041026) is associated with this NPI, valid through May 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Escambia Community Clinics Inc accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Escambia Community Clinics Inc 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 Escambia Community Clinics Inc was last updated on November 30, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.