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Pediatric Associates PA

Pediatric Associates PA is a healthcare organization registered as Pediatrics Physician in Pace, FL, holding Type 2 (organization) NPI 1124369160 since 2013. The authorized official on file is Debbie Chavers, Practices Administrator.

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NPI 1124369160
Entity type Organization (Type 2)
Legal business name Pediatric Associates PA
Other name <Unavail>
Parent organization Pediatric Associates PA
Practice address 4435 HIGHWAY 90, Pace, FL, 32571
Phone 8509940901
Fax 8509942737
Enumeration date 2013-03-14
Last updated in NPPES 2018-03-26

Authorized official

Name Debbie Chavers
Title Practices Administrator
Phone 8504781100

Taxonomy & classification

Taxonomy code Specialty Primary License State
208000000X Pediatrics Physician Primary

Other identifiers

Identifier Type State Issuer
280234101 Medicaid FL
Copy-ready billing details
Provider: Pediatric Associates PA
NPI: 1124369160
Taxonomy: 208000000X (Pediatrics Physician)
Address: 4435 HIGHWAY 90, Pace, FL, 32571

Providers at this address

NPI Name Type Specialty Location
1336193143 Bradley Hawkins Individual Family Medicine Physician Pace, FL
1033601794 Escambia Community Clinics Inc Organization Federally Qualified Health Center (FQHC) Pace, FL
1245703453 Sacred Heart Health System, Inc. Organization Urgent Care Clinic/Center Pace, FL
1396206108 Jan Carozzoni Individual Pediatric Nurse Practitioner Pace, FL
1235990037 Katelyn Fahey Individual Clinical Social Worker Pace, FL

Verify this record

Cross-check NPI 1124369160 against the authoritative CMS record: view Pediatric Associates PA on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Pediatric Associates PA?
Pediatric Associates PA is registered in NPPES as a Pediatrics Physician (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-03-26.