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PENSACOLA PEDIATRICS, PA
NPI 1255004586
Pediatrics in Pensacola, FL

Active since August 02, 2021CLIA Certified · 2 labs
9301 BEATRICE DR, PENSACOLA, FL 32514(850) 476-7555(850) 466-3777 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 1255004586) is a healthcare organization registered as a pediatrics in Pensacola, Florida and active in the NPI registry since August 2021. The organization holds 2 active CLIA laboratory certificates and lists Peter Heckathorn, Administrator, as its authorized official.

NPPES Registry Identity

NPI1255004586
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePENSACOLA PEDIATRICS, PA
Location Address9301 BEATRICE DRPensacola, FL 32514-5867
Mailing Address4951 Grande DrPensacola, FL 32504-8965 · (850) 473-0100 · Fax (850) 473-0500
Phone(850) 476-7555
Fax(850) 466-3777
Organization SubpartNo
Authorized OfficialPeter HeckathornAdministrator · (850) 473-0100
Enumeration DateAugust 2, 2021
NPPES CertifiedAugust 2, 2021
✔ NPI 1255004586 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.
9301 BEATRICE DR, Pensacola, FL 32514
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Other Identifiers 1

Medicaid063018702FL

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 2

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 Compliance 10D2014347

Pensacola Pediatrics · Pensacola, FL
Active · expires Dec 1, 2026
CLIA Number10D2014347
Laboratory TypePhysician Office
Certificate Effective DateDecember 2, 2024
Certificate Expiration DateDecember 1, 2026
Laboratory DirectorJennifer D. Stadden
Laboratory Phone(850) 476-7555
Laboratory LocationPensacola Pediatrics9301 Beatrice Dr, Pensacola, FL 32514
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 10D2142940

Pensacola Pediatrics, PA · Pensacola, FL
Active · expires Jan 22, 2028
CLIA Number10D2142940
Laboratory TypePhysician Office
Certificate Effective DateJanuary 23, 2026
Certificate Expiration DateJanuary 22, 2028
Laboratory DirectorTiffany Ramos
Laboratory Phone(850) 494-3965
Laboratory LocationPensacola Pediatrics, PA965 East Nine Mile Road, Pensacola, FL 32514
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

DR. JENNIFER DAWN STADDEN M.D.
Pediatrics
9301 BEATRICE DR
PENSACOLA, FL 32514
Escambia County (850) 476-7555
JENNIFER KNIGHT ARNP
Nurse Practitioner (Pediatrics)
9301 BEATRICE DR
PENSACOLA, FL 32514
Escambia County (850) 476-7555
DR. AMY P FOLAND MD
Pediatrics
9301 BEATRICE DR
PENSACOLA, FL 32514
Escambia County (850) 476-7555
MR. PHILIP C DEAN MD
Pediatrics
9301 BEATRICE DR
PENSACOLA, FL 32514
Escambia County (850) 476-7555
ANTHONY G PIETRONIRO M.D.
Pediatrics
9301 BEATRICE DR
PENSACOLA, FL 32514
Escambia County (850) 476-7555
JOLEE BROOKE SANBORN APRN, CPNP
Nurse Practitioner (Pediatrics)
9301 BEATRICE DR
PENSACOLA, FL 32514
Escambia County (850) 476-7555

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 1255004586. 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 9301 Beatrice Dr, Pensacola, FL 32514. The listed phone number is (850) 476-7555.

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 CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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.