1. Home
  2. Directory
  3. Florida
  4. Pensacola
  5. Non Pharmacy Dispensing Site
  6. NPI Profile

EMERALD COAST CENTER FOR NEUROLOGICAL DISORDERS
NPI 1396148292
Non-Pharmacy Dispensing Site in Pensacola, FL

Active since October 06, 2014CLIA 10D2058186 · Waiver
1110 AIRPORT BLVD, STE B, PENSACOLA, FL 32504(850) 438-1136(850) 438-1148 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Emerald Coast Center For Neurological Disorders NPPES

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

EMERALD COAST CENTER FOR NEUROLOGICAL DISORDERS (NPI 1396148292) is a healthcare organization registered as a non-pharmacy dispensing site in Pensacola, Florida and active in the NPI registry since October 2014. The organization holds a CLIA Waiver certificate valid through April 30, 2027 and lists Antonette Mitchem, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1396148292
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameEMERALD COAST CENTER FOR NEUROLOGICAL DISORDERS
Location Address1110 AIRPORT BLVD, STE BPensacola, FL 32504-8649
Mailing Address1110 Airport Blvd, Ste BPensacola, FL 32504-8649 · (850) 438-1136 · Fax (850) 438-1148
Phone(850) 438-1136
Fax(850) 438-1148
Organization SubpartNo
Authorized OfficialAntonette MitchemPractice Manager · (850) 438-1136
Enumeration DateOctober 6, 2014
Last NPPES UpdateFebruary 28, 2024
✔ NPI 1396148292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
1110 AIRPORT BLVD, Pensacola, FL 32504
Open in Google Maps ↗

Other Identifiers 1

Medicaid275377400FL

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 10D2058186

Emerald Coast Center For Neurological Disorders · Pensacola, FL
Active · expires Apr 30, 2027
CLIA Number10D2058186
Laboratory TypePhysician Office
Certificate Effective DateMay 1, 2025
Certificate Expiration DateApril 30, 2027
Laboratory DirectorDavid M. Bear
Laboratory Phone(850) 438-1136
Laboratory LocationEmerald Coast Center For Neurological Disorders1110 Airport Blvd Suite B, Pensacola, FL 32504
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 10

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

COREY STONE D.O.
Physical Medicine & Rehabilitation
1110 AIRPORT BLVD, STE B
PENSACOLA, FL 32504
Escambia County (850) 438-1136
JORDAN NICHOLAS PEACOCK PHYSICIAN ASSISTANT
Physician Assistant
1110 AIRPORT BLVD, SUITE B
PENSACOLA, FL 32504
Escambia County (850) 438-1136
LAURA BELL APRN
Nurse Practitioner (Family)
1110 AIRPORT BLVD, SUITE B
PENSACOLA, FL 32504
Escambia County (850) 438-1136
DANIEL E ROSS D.O.
Psychiatry & Neurology (Neurology)
1110 AIRPORT BLVD, SUITE B
PENSACOLA, FL 32504
Escambia County (850) 438-1136
AMANDA BEAR PA-C
Physician Assistant
1110 AIRPORT BLVD, STE B
PENSACOLA, FL 32504
Escambia County (850) 438-1136
DAVID M BEAR D.O.
Psychiatry & Neurology (Neurology)
1110 AIRPORT BLVD, SUITE B
PENSACOLA, FL 32504
Escambia County (850) 438-1136
EMERALD COAST CENTER FOR NEUROLOGICAL DISORDERS
Psychiatry & Neurology (Neurology)
1110 AIRPORT BLVD, SUITE B
PENSACOLA, FL 32504
Escambia County (850) 438-1136
DR. HENRY OLIN PORTER III M.D.
Psychiatry & Neurology (Neurology)
1110 AIRPORT BLVD, SUITE B
PENSACOLA, FL 32504
Escambia County (850) 438-1136

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 Center For Neurological Disorders's NPI number?

The NPI number for Emerald Coast Center For Neurological Disorders is 1396148292. It was assigned to this organization in the NPPES registry on October 6, 2014.

Where is Emerald Coast Center For Neurological Disorders located?

Emerald Coast Center For Neurological Disorders is located at 1110 Airport Blvd Ste B, Pensacola, FL 32504. The listed phone number is (850) 438-1136.

What is Emerald Coast Center For Neurological Disorders's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Emerald Coast Center For Neurological Disorders hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2058186) is associated with this NPI, valid through April 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Emerald Coast Center For Neurological Disorders was last updated on February 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.