PENSACOLA NEPHROLOGY, PA
NPI 1871535955
Internal Medicine - Nephrology in Fort Walton Beach, FL

Active since June 12, 2006
319 GREEN ACRES RD STE 103, FORT WALTON BEACH, FL 32547(850) 862-2385(850) 862-0482 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 19, 2025, Jun 11, 2021 (2 updates tracked since 2021).

About Pensacola Nephrology, Pa NPPES

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

PENSACOLA NEPHROLOGY, PA (NPI 1871535955), doing business as Renalus Center For Kidney Care, is a healthcare organization registered as a nephrology in Fort Walton Beach, Florida and active in the NPI registry since June 2006. The organization lists Justin Dansby, Cfo, as its authorized official.

NPPES Registry Identity

NPI1871535955
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NamePENSACOLA NEPHROLOGY, PA
Location Address319 GREEN ACRES RD STE 103Fort Walton Beach, FL 32547-1170
Mailing AddressPo Box 11037Pensacola, FL 32524-1037 · (850) 444-4700 · Fax (850) 444-7497
Fax(850) 862-0482
Organization SubpartYes
Authorized OfficialJustin DansbyCfo · (850) 444-7000
Enumeration DateJune 12, 2006
Last NPPES UpdateFebruary 19, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2025
NPI 1871535955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
319 GREEN ACRES RD STE 103, Fort Walton Beach, FL 32547

Other Names 1

Doing Business AsRenalus Center For Kidney Care

Other Identifiers 13

Other0358FL · Med3000/health 1st Networ
Medicaid256870503FL
Medicaid256870508FL
Other99659FL · Bcbs Of Florida
Medicaid256870504FL
Medicaid256870501FL
Medicaid256870506FL
Medicaid256870507FL
Medicaid529904030AL
OtherCF9776Rr Medicare
Medicaid256870500FL
Medicaid256870502FL
Medicaid256870505FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Acute Care)
319 GREEN ACRES RD STE 103
FORT WALTON BEACH, FL 32547
Internal Medicine (Nephrology)
319 GREEN ACRES RD STE 103
FORT WALTON BEACH, FL 32547
Internal Medicine (Nephrology)
319 GREEN ACRES RD STE 103
FORT WALTON BEACH, FL 32547

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 Nephrology, PA's NPI number?

The NPI number for Pensacola Nephrology, PA is 1871535955. It was assigned to this organization in the NPPES registry on June 12, 2006. The provider is doing business as Renalus Center for Kidney Care.

Where is Pensacola Nephrology, PA located?

Pensacola Nephrology, PA is located at 319 Green Acres Rd Ste 103, Fort Walton Beach, FL 32547. The listed phone number is (850) 862-2385.

What is Pensacola Nephrology, PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

What insurance does Pensacola Nephrology, PA accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Pensacola Nephrology, 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 Nephrology, PA was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.