EMERALD COAST CENTER FOR NEUROLOGICAL DISORDERS – Neurology Physician, NPI 1750315701

EMERALD COAST CENTER FOR NEUROLOGICAL DISORDERS is a healthcare provider. based in Pensacola, Florida. specializing in Neurology Physician. The NPI Number for EMERALD COAST CENTER FOR NEUROLOGICAL DISORDERS is 1750315701

Main info

Organization
Name
EMERALD COAST CENTER FOR NEUROLOGICAL DISORDERS
NPI
1750315701
Phone
(850) 438-1136
Address
1110 AIRPORT BLVD
Authorized Official
DANIEL ROSS PARTNER D.O.
Enumeration Date
10 July 2006
Last Update Date
17 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for EMERALD COAST CENTER FOR NEUROLOGICAL DISORDERS

  • 1110, Airport Boulevard, Cobblestone At Cordova, Pensacola, Escambia County, Florida, 32504, United States

    SUITE B

    PENSACOLA, FL 32504

    Phone: (850) 438-1136

    Fax: (850) 438-1148

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-09-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20060922000177OClinic/Group PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32504)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for EMERALD COAST CENTER FOR NEUROLOGICAL DISORDERS?
EMERALD COAST CENTER FOR NEUROLOGICAL DISORDERS — NPI 1750315701 — is the standard way to identify this listing.
Is EMERALD COAST CENTER FOR NEUROLOGICAL DISORDERS listed as active for patients and plans?
The listing shows EMERALD COAST CENTER FOR NEUROLOGICAL DISORDERS as active in the NPI system.
What is EMERALD COAST CENTER FOR NEUROLOGICAL DISORDERS's primary classification?
Neurology Physician is the headline specialty for EMERALD COAST CENTER FOR NEUROLOGICAL DISORDERS here. Clinical services aligned with this taxonomy classification.
What area does EMERALD COAST CENTER FOR NEUROLOGICAL DISORDERS serve?
EMERALD COAST CENTER FOR NEUROLOGICAL DISORDERS's listing highlights Pensacola, Florida; more addresses can appear in NPPES.
Is the information about EMERALD COAST CENTER FOR NEUROLOGICAL DISORDERS up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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