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WHITE WILSON MED CTR-BWB FP
NPI 1013054469
Family Medicine in Niceville, FL

Active since February 01, 2007CLIA Certified · 3 labs
2001 E HIGHWAY 20, FAMILY PRACTICE DEPARTMENT, NICEVILLE, FL 32578(850) 897-4400(850) 897-0623 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About White Wilson Med Ctr-bwb Fp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WHITE WILSON MED CTR-BWB FP (NPI 1013054469) is a healthcare organization registered as a family medicine in Niceville, Florida and active in the NPI registry since February 2007. The organization holds 3 active CLIA laboratory certificates and lists Douglas W. Rigby, President, as its authorized official.

NPPES Registry Identity

NPI1013054469
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWHITE-WILSON MEDICAL CENTER, P.A.
Location Address2001 E HIGHWAY 20, FAMILY PRACTICE DEPARTMENTNiceville, FL 32578-8826
Mailing Address1005 Mar Walt Dr, Business OfficeFort Walton Beach, FL 32547-6707 · (850) 863-8105 · Fax (850) 863-8548
Phone(850) 897-4400
Fax(850) 897-0623
Organization SubpartNo
Authorized OfficialDouglas W. RigbyPresident · (850) 863-8150
Enumeration DateFebruary 1, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1013054469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2001 E HIGHWAY 20, Niceville, FL 32578
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Other Names 1

Doing Business AsWhite Wilson Med Ctr-bwb Fp

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1026019

White Wilson Medical Center Immediate Care Fort Walton · Fort Walton Beach, FL
Active · expires May 24, 2028
CLIA Number10D1026019
Laboratory TypePhysician Office
Certificate Effective DateMay 25, 2026
Certificate Expiration DateMay 24, 2028
Laboratory DirectorChinh V. Van
Laboratory Phone(850) 863-8284
Laboratory LocationWhite Wilson Medical Center Immediate Care Fort Walton1005 Mar Walt Dr, Fort Walton Beach, FL 32547
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D0271550

White-Wilson Medical Center - Niceville · Niceville, FL
Active · expires Sep 16, 2026
CLIA Number10D0271550
Laboratory TypePhysician Office
Certificate Effective DateSeptember 17, 2024
Certificate Expiration DateSeptember 16, 2026
Laboratory DirectorDr. Karl Walter Metz
Laboratory Phone(850) 863-8284
Laboratory LocationWhite-Wilson Medical Center - Niceville2001 E Hwy 20, Niceville, FL 32578
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2209003

White Wilson Medical Center, PA · Fort Walton Beach, FL
Active · expires Jan 10, 2027
CLIA Number10D2209003
Laboratory TypePhysician Office
Certificate Effective DateJanuary 11, 2025
Certificate Expiration DateJanuary 10, 2027
Laboratory DirectorJulian Tokarev
Laboratory Phone(850) 314-6380
Laboratory LocationWhite Wilson Medical Center, PA1106 Hospital Road, Fort Walton Beach, FL 32547
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2117252

White Wilson Medical Center Nephrology · Fort Walton Beach, FL
Expired · Aug 11, 2026
CLIA Number10D2117252
Laboratory TypePhysician Office
Certificate Effective DateAugust 12, 2024
Certificate Expiration DateAugust 11, 2026
Laboratory DirectorCharles B. Arbogast
Laboratory Phone(850) 863-8284
Laboratory LocationWhite Wilson Medical Center Nephrology1005 Mar Walt Dr, Fort Walton Beach, FL 32547
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHAWN M. LEE ACNP-BC, FNP
Nurse Practitioner
2001 E HIGHWAY 20
NICEVILLE, FL 32578
Okaloosa County (508) 863-8219
JENNIFER EDWARDS
Physician Assistant (Medical)
2001 E HIGHWAY 20
NICEVILLE, FL 32578
Okaloosa County (850) 897-4400
MARGARET LYNN LAFORGE APRN
Nurse Practitioner (Family)
2001 E HIGHWAY 20
NICEVILLE, FL 32578
Okaloosa County (715) 490-2095
KIMBERLY J LITWILLER CRNP
Nurse Practitioner (Family)
2001 E HIGHWAY 20
NICEVILLE, FL 32578
Okaloosa County (850) 897-4400
ANDREW M YANG MD
Family Medicine
2001 E HIGHWAY 20, FAMILY PRACTICE DEPARTMENT
NICEVILLE, FL 32578
Okaloosa County (850) 897-4400
MASON DOUGLAS CARNLEY APRN, FNP-C
Nurse Practitioner (Family)
2001 E HIGHWAY 20
NICEVILLE, FL 32578
Okaloosa County (850) 897-4400
DR. KYLE EDWIN SIMMERS M.D.
Pediatrics
2001 E HIGHWAY 20, PEDIATRIC DEPARTMENT
NICEVILLE, FL 32578
Okaloosa County (850) 897-4400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is White-Wilson Medical Center, P.A.'s NPI number?

The NPI number for White-Wilson Medical Center, P.A. is 1013054469. It was assigned to this organization in the NPPES registry on February 1, 2007. The provider is doing business as White Wilson Med Ctr-Bwb Fp.

Where is White-Wilson Medical Center, P.A. located?

White-Wilson Medical Center, P.A. is located at 2001 E Highway 20 Family Practice Department, Niceville, FL 32578. The listed phone number is (850) 897-4400.

What is White-Wilson Medical Center, P.A.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does White-Wilson Medical Center, P.A. hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does White-Wilson Medical Center, P.A. accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list White-Wilson Medical Center, P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for White-Wilson Medical Center, P.A. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.