Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184679375 Individual Practitioner Male Practitioner

Dr. Samuel Fitzsimons Ravenel , MD

Pediatrics • Milton, FL

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Ravenel, MD is a registered healthcare professional specializing in Pediatrics in Milton, FL. Practice services are available at 6671 CAROLINE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6671 Caroline St

Milton, FL 325704781

Telephone 8509819433
Fax 8509819436
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Milton, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
7 Specialists

Practicing in Milton, FL (4160 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-04-07
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License 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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
017919600 (FL)
Commercial Insurance / Payer ID Bcbs Fl
M8P04 (FL)
Commercial Insurance / Payer ID Mcr Fl
KD915 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Dr. Ronald Maddux , MD

Family Medicine

NPI 1023154572

Doctor of Medicine (M.D.)

April Archer , ARNP

Nurse Practitioner - Pediatrics

NPI 1194058826

Advanced Registered Nurse Practitioner

Charlene Echols , ARNP

Nurse Practitioner - Family

NPI 1528272168

Advanced Registered Nurse Practitioner

Andrea Nutt , LCSW

Social Worker - Clinical

NPI 1619335809

Licensed Clinical Social Worker

NPI 1730162835

Doctor of Medicine (M.D.)

Dr. Diane Hudson , MD

Family Medicine

NPI 1780646745

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location April 07, 2026

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

📍
Updated Practice Location September 24, 2019

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

📍
Updated Business Mailing Address September 24, 2019

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

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

Pediatrics (License #ME128058 in FL)

NPI Profile Active March 23, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location March 23, 2010

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

📍
Updated Business Mailing Address March 23, 2010

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

👤
Provider Name / Credentials Updated March 23, 2010

Recorded as SAMUEL RAVENEL, MD

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

Pediatrics (License #2004-00952 in NC)

🟢
Initial NPI Registration & Enumeration May 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.