SOUTHEAST VASCULAR GROUP LP
NPI 1184609372
Surgery in Pensacola, FL

Q: What is Southeast Vascular Group LP's NPI number?

The NPI number for Southeast Vascular Group LP is 1184609372. It was assigned to this organization in the NPPES registry on December 9, 2005.

Q: What is Southeast Vascular Group LP's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since December 09, 2005CLIA 10D2166517 · Waiver

4800 N 9TH AVE, PENSACOLA, FL 32503(850) 429-0102(850) 429-0830 Get Directions Write a Review

NPPES record last updated: June 10, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Southeast Vascular Group Lp NPPES

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

SOUTHEAST VASCULAR GROUP LP (NPI 1184609372) is a healthcare organization registered as a surgery in Pensacola, Florida and active in the NPI registry since December 2005. The organization holds a CLIA Waiver certificate valid through May 19, 2027 and lists Layne R. Yonehiro, President, as its authorized official.

NPPES Registry Identity

NPI1184609372

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameSOUTHEAST VASCULAR GROUP LP

Location Address4800 N 9TH AVEPensacola, FL 32503-2447

Mailing AddressPo Box 30090Pensacola, FL 32503-1090 · (850) 429-0102 · Fax (850) 429-0803

Phone(850) 429-0102

Fax(850) 429-0830

Organization SubpartNo

Authorized OfficialLayne R. YonehiroPresident · (850) 429-0102

Enumeration DateDecember 9, 2005

Last NPPES UpdateJune 10, 2021

NPPES CertifiedJune 10, 2021

✔ NPI 1184609372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in FL · ME35697

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

4800 N 9TH AVE, Pensacola, FL 32503

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Other Identifiers 6

Medicaid529913680AL

Other0329FL · Health First Network

Medicaid529929230AL

Medicaid529931590AL

OtherCK8716FL · Medicare Railroad

Medicaid266355400FL

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 Ambetter Health, Ambetter of Alabama.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)

Southeast Vascular Group Lp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southeast Vascular Group LP, which bills Medicare for the services this clinician delivers.

Clinician (1)

Layne Yonehiro, MD

General Surgery

NPI 1083699276

1717 N E ST SUITE 533
Pensacola, FL 32501

(850) 429-0102

✔ PECOS✔ Accepts Medicare2.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 10D2166517

Southeast Vascular · Pensacola, FL

Active · expires May 19, 2027

CLIA Number10D2166517

Laboratory TypePhysician Office

Certificate Effective DateMay 20, 2025

Certificate Expiration DateMay 19, 2027

Laboratory DirectorLayne R. Yonehiro

Laboratory Phone(850) 429-0102

Laboratory LocationSoutheast Vascular1619 Creighton Rd Ste 2, Pensacola, FL 32504

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only 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 Southeast Vascular Group LP's NPI number?

The NPI number for Southeast Vascular Group LP is 1184609372. It was assigned to this organization in the NPPES registry on December 9, 2005.

Where is Southeast Vascular Group LP located?

Southeast Vascular Group LP is located at 4800 N 9th Ave, Pensacola, FL 32503. The listed phone number is (850) 429-0102.

What is Southeast Vascular Group LP's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Southeast Vascular Group LP enrolled in Medicare?

Yes. Southeast Vascular Group LP is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southeast Vascular Group LP?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Southeast Vascular Group LP. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Southeast Vascular Group LP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2166517) is associated with this NPI, valid through May 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southeast Vascular Group LP accept?

Health plans from Ambetter Health and Ambetter of Alabama list Southeast Vascular Group LP 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 Southeast Vascular Group LP was last updated on June 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.