CORDOVA FAMILY PRACTICE PA
NPI 1265627939
Family Medicine in Pensacola, FL

Active since September 06, 2007CLIA 10D0270982 · Waiver
4400 BAYOU BLVD, SUITE 37, PENSACOLA, FL 32503(850) 474-9606(850) 474-9977 Get Directions Write a Review

NPPES record last updated: October 22, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Cordova Family Practice Pa NPPES

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

CORDOVA FAMILY PRACTICE PA (NPI 1265627939) is a healthcare organization registered as a family medicine in Pensacola, Florida and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through October 26, 2028 and lists Barbara D French, President/owner, as its authorized official.

NPPES Registry Identity

NPI1265627939
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCORDOVA FAMILY PRACTICE PA
Location Address4400 BAYOU BLVD, SUITE 37Pensacola, FL 32503-2673
Mailing Address4400 Bayou Blvd, Suite 37Pensacola, FL 32503-2673 · (850) 474-9606 · Fax (850) 474-9977
Fax(850) 474-9977
Organization SubpartNo
Authorized OfficialBarbara D FrenchPresident/owner · (850) 474-9606
Enumeration DateSeptember 6, 2007
Last NPPES UpdateOctober 22, 2007
✔ NPI 1265627939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4400 BAYOU BLVD, Pensacola, FL 32503

Other Identifiers 1

Medicare PIN99142FL

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cordova Family Practice Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Cordova Family Practice PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Family Practice
NPI 1760468441
4400 BAYOU BLVD SUITE 37
Pensacola, FL 32503
(850) 474-9606
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1568448199
4400 BAYOU BLVD SUITE 37
Pensacola, FL 32503
(850) 474-9606
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1487956926
2257 N BAYLEN ST
Pensacola, FL 32501
(850) 572-6188
✔ PECOS✔ Accepts Medicare2.6 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 10D0270982

Cordova Family Practice PA · Pensacola, FL
Active · expires Oct 26, 2028
CLIA Number10D0270982
Laboratory TypePhysician Office
Certificate Effective DateOctober 27, 2026
Certificate Expiration DateOctober 26, 2028
Laboratory DirectorBarbara D. French
Laboratory Phone(850) 474-9606
Laboratory LocationCordova Family Practice PA4400 Bayou Blvd Suite 37, Pensacola, FL 32503
CLIA data matches this NPI record on: Address 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 Cordova Family Practice PA's NPI number?

The NPI number for Cordova Family Practice PA is 1265627939. It was assigned to this organization in the NPPES registry on September 6, 2007.

Where is Cordova Family Practice PA located?

Cordova Family Practice PA is located at 4400 Bayou Blvd Suite 37, Pensacola, FL 32503. The listed phone number is (850) 474-9606.

What is Cordova Family Practice PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Cordova Family Practice PA enrolled in Medicare?

Yes. Cordova Family Practice PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cordova Family Practice PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Cordova Family Practice PA, in Family Practice and Nurse Practitioner. 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 and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Cordova Family Practice PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0270982) is associated with this NPI, valid through October 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cordova Family Practice PA was last updated on October 22, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.