OrganizationActive
Pensacola Pediatrics, PA
NPI 1790451508 · Pediatrics Physician · Pensacola, FL
Pensacola Pediatrics, PA is a Pediatrics Physician organization in Pensacola, FL (NPI 1790451508).
Provider details
- NPI number
- 1790451508
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Peter Heckathorn, Administrator(850) 473-0100
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
965 E Nine Mile Rd
Pensacola, FL 32514-1648
Phone: (850) 466-3776
Fax: (850) 497-6939
Street-level locationGet directions
Mailing address
4951 Grande Dr
Pensacola, FL 32504-8965
Additional practice locations (1)
- 2120 E Johnson Ave Ste 103Pensacola, FL 32514-6091Phone: (850) 473-0100Fax: (850) 497-6939
Registry dates
- Enumerated
- 2021-08-20
- Last updated
- 2022-12-08
- Certified
- 2022-12-08
Frequently asked questions
- What is Pensacola Pediatrics, PA's NPI number?
- Pensacola Pediatrics, PA's National Provider Identifier (NPI) is 1790451508, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pensacola Pediatrics, PA?
- Pensacola Pediatrics, PA is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Pensacola Pediatrics, PA located?
- Pensacola Pediatrics, PA's practice location on file with NPPES is 965 E Nine Mile Rd, Pensacola, FL 32514-1648.
- What is Pensacola Pediatrics, PA's phone number?
- The practice phone number listed in the NPPES registry for Pensacola Pediatrics, PA is (850) 466-3776.
- Who is the authorized official for Pensacola Pediatrics, PA?
- The authorized official listed on Pensacola Pediatrics, PA's NPPES record is Peter Heckathorn, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pensacola Pediatrics, PA's NPI active?
- Yes — Pensacola Pediatrics, PA's NPI (1790451508) is active in the NPPES registry as of the last update on 2022-12-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.