BEACHSIDE MEDICAL GROUP LLC
NPI 1568250512
Pediatrics - Neonatal-Perinatal Medicine in Pensacola, FL

Active since April 29, 2025
5151 N 9TH AVE, PENSACOLA, FL 32504(850) 473-0100(850) 473-0500 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Beachside Medical Group Llc NPPES

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

BEACHSIDE MEDICAL GROUP LLC (NPI 1568250512) is a healthcare organization registered as a neonatal-perinatal medicine in Pensacola, Florida and active in the NPI registry since April 2025. The organization lists Evie Duckworth, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1568250512
Entity TypeOrganization
Primary Taxonomy2080N0001X
Legal Business NameBEACHSIDE MEDICAL GROUP LLC
Location Address5151 N 9TH AVEPensacola, FL 32504-8721
Mailing Address4951 Grande DrPensacola, FL 32504-8965 · (850) 473-0100 · Fax (850) 473-0500
Fax(850) 473-0500
Organization SubpartYes
Authorized OfficialEvie DuckworthCredentialing Manager · (850) 478-1312
Enumeration DateApril 29, 2025
NPPES CertifiedApril 29, 2025
NPI 1568250512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
5151 N 9TH AVE, Pensacola, FL 32504

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

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Family)
5151 N 9TH AVE, STE 200
PENSACOLA, FL 32504
Nurse Practitioner (Neonatal)
5151 N 9TH AVE
PENSACOLA, FL 32504
Pediatrics (Pediatric Critical Care Medicine)
5151 N 9TH AVE
PENSACOLA, FL 32504
Emergency Medicine
5151 N 9TH AVE, ER
PENSACOLA, FL 32504
Student in an Organized Health Care Education/Training Program
5151 N 9TH AVE
PENSACOLA, FL 32504
Emergency Medicine
5151 N 9TH AVE
PENSACOLA, FL 32504
Physician Assistant
5151 N 9TH AVE
PENSACOLA, FL 32504
Occupational Therapist
5151 N 9TH AVE, SUITE 1405
PENSACOLA, FL 32504

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 Beachside Medical Group LLC's NPI number?

The NPI number for Beachside Medical Group LLC is 1568250512. It was assigned to this organization in the NPPES registry on April 29, 2025.

Where is Beachside Medical Group LLC located?

Beachside Medical Group LLC is located at 5151 N 9th Ave, Pensacola, FL 32504. The listed phone number is (850) 473-0100.

What is Beachside Medical Group LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

When was this NPI record last updated?

The NPPES record for Beachside Medical Group LLC was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.