EMERALD COAST NEONATOLOGY PA
NPI 1285726091
Pediatrics - Pediatric Critical Care Medicine in Marianna, FL

Active since September 29, 2006
4250 HOSPITAL DRIVE, MARIANNA, FL 32446(850) 265-9332(850) 784-7706 Get Directions Write a Review

NPPES record last updated: January 22, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Emerald Coast Neonatology Pa NPPES

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

EMERALD COAST NEONATOLOGY PA (NPI 1285726091) is a healthcare organization registered as a pediatric critical care medicine in Marianna, Florida and active in the NPI registry since September 2006. The organization lists Douglas Sprague, President, as its authorized official.

NPPES Registry Identity

NPI1285726091
Entity TypeOrganization
Primary Taxonomy2080P0203X
Legal Business NameEMERALD COAST NEONATOLOGY PA
Location Address4250 HOSPITAL DRIVEMarianna, FL 32446
Mailing AddressPo Box 15789Panama City, FL 32406 · (850) 265-9332 · Fax (850) 784-7706
Fax(850) 784-7706
Organization SubpartNo
Authorized OfficialDouglas SpraguePresident · (850) 265-9332
Enumeration DateSeptember 29, 2006
Last NPPES UpdateJanuary 22, 2009
NPI 1285726091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License Licensed in FL · ME66820
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
4250 HOSPITAL DRIVE, Marianna, FL 32446

Other Identifiers 3

Medicare UPINE90941FL
Medicaid260912600FL
Other45706FL · Bcbs Florida

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

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 Emerald Coast Neonatology PA's NPI number?

The NPI number for Emerald Coast Neonatology PA is 1285726091. It was assigned to this organization in the NPPES registry on September 29, 2006.

Where is Emerald Coast Neonatology PA located?

Emerald Coast Neonatology PA is located at 4250 Hospital Drive, Marianna, FL 32446. The listed phone number is (850) 265-9332.

What is Emerald Coast Neonatology PA's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

When was this NPI record last updated?

The NPPES record for Emerald Coast Neonatology PA was last updated on January 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.