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Dr. Samuel Fitzsimons Ravenel , MD

Pediatrics β€’ Milton, FL

Active NPI 1184679375 Individual Practitioner Male Practitioner
Practice location in NPPES

6671 Caroline St
Milton, FL 325704781

Call 8509819433 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

6671 Caroline St

Milton, FL 325704781

Telephone 8509819433
Fax 8509819436
Organization at the Same NPPES Address or Phone
Escambia Community Clinics, Inc Facility NPI 1689864035

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Open Payments general payments, program year 2025

All general payments: $37.59 across 2 records.

By nature of payment

  • Food and Beverage: $37.59 across 2 records.

Reporting-company totals

  • GlaxoSmithKline, LLC.: $37.59 across 2 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Ravenel has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Ravenel as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Milton and Florida

7 active clinicians are listed under Pediatrics with a practice address in Milton, FL (4,001 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $37.59.

Manufacturer Payment Nature Product Type Amount ($)
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
BEXSERO General $19.02
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
BEXSERO General $18.57

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-04-07
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES FL ME128058

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
017919600 (FL)
Other Identifier Bcbs Fl
M8P04 (FL)
Other Identifier Mcr Fl
KD915 (FL)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20180816001007

Enrollment State Jurisdiction

FL

PECOS Control ID

3173592961

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
NPI 1730162835

Doctor of Medicine (M.D.)

Michael Busby , PA-C

Physician Assistant

NPI 1962462671

Physician Assistant (Certified)

Dr. Diane Hudson , MD

Family Medicine

NPI 1780646745

Doctor of Medicine (M.D.)

Dr. Melissa Pocta , MD

Family Medicine

NPI 1962627000

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location April 07, 2026

Registered at 6671 CAROLINE ST, MILTON, FL 325704781 (Tel: 8509819433)

πŸ“
Updated Practice Location September 24, 2019

Registered at 470 S HIGHWAY 29 STE 2, CANTONMENT, FL 325336314 (Tel: 8507800111)

πŸ“
Updated Business Mailing Address September 24, 2019

Registered at 2315 W JACKSON ST, PENSACOLA, FL 325057552 (Tel: 8504364630)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2019

Pediatrics (license number reported to NPPES: FL ME128058)

βœ…
NPI Profile Active March 23, 2010

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 23, 2010

Registered at 1814 WESTCHESTER DRIVE, SUITE 203, HIGH POINT, NC 272623832 (Tel: 3368022100)

πŸ“
Business Mailing Address (Initial Record) March 23, 2010

Registered at 1701 WESTCHESTER DRIVE, SUITE 850, HIGH POINT, NC 272627254 (Tel: 3368022400)

πŸ‘€
Provider Name / Credentials (Initial Record) March 23, 2010

Recorded as SAMUEL RAVENEL, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2010

Pediatrics (license number reported to NPPES: NC 2004-00952)

🟒
Initial NPI Registration & Enumeration May 24, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1184679375
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2006
Last Update: April 07, 2026
Sole Proprietor: No

Mailing Address

2315 W Jackson St

Pensacola, FL 325057552

Phone: 8504364630

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.