PENSACOLA PEDIATRICS PA
NPI 1508539834
Pediatrics in Milton, FL

Active since August 02, 2021CLIA 10D0979005 · Waiver
5834 BERRYHILL RD, MILTON, FL 32570(850) 623-5437(850) 626-7803 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 1508539834) is a healthcare organization registered as a pediatrics in Milton, Florida and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through October 10, 2026 and lists Peter Heckathorn, Administrator, as its authorized official.

NPPES Registry Identity

NPI1508539834
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePENSACOLA PEDIATRICS PA
Location Address5834 BERRYHILL RDMilton, FL 32570-8275
Mailing Address4951 Grande DrPensacola, FL 32504-8965 · (850) 473-0100 · Fax (850) 473-0500
Fax(850) 626-7803
Organization SubpartNo
Authorized OfficialPeter HeckathornAdministrator · (850) 473-0100
Enumeration DateAugust 2, 2021
NPPES CertifiedAugust 2, 2021
NPI 1508539834 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.
5834 BERRYHILL RD, Milton, FL 32570

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

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 10D0979005

Pensacola Pediatrics Milton · Milton, FL
Active · expires Oct 10, 2026
CLIA Number10D0979005
Laboratory TypePhysician Office
Certificate Effective DateOctober 11, 2024
Certificate Expiration DateOctober 10, 2026
Laboratory DirectorDr. Andrea Delacruz
Laboratory Phone(850) 623-5437
Laboratory LocationPensacola Pediatrics Milton5834 Berryhill Road, Milton, FL 32570
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 5

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

Nurse Practitioner (Pediatrics)
5834 BERRYHILL RD
MILTON, FL 32570
Pediatrics
5834 BERRYHILL RD
MILTON, FL 32570
Pediatrics
5834 BERRYHILL RD
MILTON, FL 32570
Pediatrics
5834 BERRYHILL RD
MILTON, FL 32570
Pediatrics
5834 BERRYHILL RD
MILTON, FL 32570

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 1508539834. 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 5834 Berryhill Rd, Milton, FL 32570. The listed phone number is (850) 623-5437.

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 10D0979005) is associated with this NPI, valid through October 10, 2026. 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.