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PENSACOLA PEDIATRICS PA
NPI 1225701550
Pediatrics in Pace, FL

Active since August 02, 2021CLIA 10D2075852 · Waiver
5755 QUINTETTE RD, PACE, FL 32571(850) 995-8087(850) 994-5292 Get Directions Write a Review

NPPES record last updated: August 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pensacola Pediatrics Pa NPPES

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

PENSACOLA PEDIATRICS PA (NPI 1225701550) is a healthcare organization registered as a pediatrics in Pace, Florida and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through April 6, 2028 and lists Peter Heckathorn, Administrator, as its authorized official.

NPPES Registry Identity

NPI1225701550
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePENSACOLA PEDIATRICS PA
Location Address5755 QUINTETTE RDPace, FL 32571-9711
Mailing Address4951 Grande DrPensacola, FL 32504-8965 · (850) 473-0100 · Fax (850) 473-0500
Phone(850) 995-8087
Fax(850) 994-5292
Organization SubpartNo
Authorized OfficialPeter HeckathornAdministrator · (850) 473-0100
Enumeration DateAugust 2, 2021
NPPES CertifiedAugust 2, 2021
✔ NPI 1225701550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
5755 QUINTETTE RD, Pace, FL 32571
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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 of Waiver 10D2075852

Pensacola Pediatrics · Pace, FL
Active · expires Apr 6, 2028
CLIA Number10D2075852
Laboratory TypePhysician Office
Certificate Effective DateApril 7, 2026
Certificate Expiration DateApril 6, 2028
Laboratory DirectorDavid A. Hensley
Laboratory Phone(850) 995-8087
Laboratory LocationPensacola Pediatrics5755 Quintette Road, Pace, FL 32571
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. DAVID A HENSLEY MD
Pediatrics
5755 QUINTETTE RD
PACE, FL 32571
Santa Rosa County (850) 995-8087

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 Pediatrics PA's NPI number?

The NPI number for Pensacola Pediatrics PA is 1225701550. It was assigned to this organization in the NPPES registry on August 2, 2021.

Where is Pensacola Pediatrics PA located?

Pensacola Pediatrics PA is located at 5755 Quintette Rd, Pace, FL 32571. The listed phone number is (850) 995-8087.

What is Pensacola Pediatrics PA's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Pensacola Pediatrics PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2075852) is associated with this NPI, valid through April 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pensacola Pediatrics PA accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Pensacola Pediatrics 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 Pediatrics PA was last updated on August 2, 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.