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PENSACOLA PEDIATRICS, PA
NPI 1790451508
Pediatrics in Pensacola, FL

Active since August 20, 2021
965 E NINE MILE RD, PENSACOLA, FL 32514(850) 466-3776(850) 497-6939 Get Directions Write a Review

NPPES record last updated: December 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2022, Aug 20, 2021 (2 updates tracked since 2021).

About Pensacola Pediatrics, Pa NPPES

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

PENSACOLA PEDIATRICS, PA (NPI 1790451508) is a healthcare organization registered as a pediatrics in Pensacola, Florida and active in the NPI registry since August 2021. The organization maintains a secondary practice location in Pensacola and lists Peter Heckathorn, Administrator, as its authorized official.

NPPES Registry Identity

NPI1790451508
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePENSACOLA PEDIATRICS, PA
Location Address965 E NINE MILE RDPensacola, FL 32514-1648
Mailing Address4951 Grande DrPensacola, FL 32504-8965 · (850) 473-0100 · Fax (850) 473-0500
Phone(850) 466-3776
Fax(850) 497-6939
Organization SubpartNo
Authorized OfficialPeter HeckathornAdministrator · (850) 473-0100
Enumeration DateAugust 20, 2021
Last NPPES UpdateDecember 8, 20222 updates tracked since enumeration
NPPES CertifiedDecember 8, 2022
✔ NPI 1790451508 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.
965 E NINE MILE RD, Pensacola, FL 32514
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Secondary Practice Location 1

Location 12120 E Johnson Ave Ste 103Pensacola, FL 32514-6091 · Phone (850) 473-0100 · Fax (850) 497-6939

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

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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 1790451508. It was assigned to this organization in the NPPES registry on August 20, 2021.

Where is Pensacola Pediatrics, PA located?

Pensacola Pediatrics, PA is located at 965 E Nine Mile Rd, Pensacola, FL 32514. The listed phone number is (850) 466-3776.

What is Pensacola Pediatrics, PA's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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 December 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.