1. Home
  2. Directory
  3. Florida
  4. Crestview
  5. Urology
  6. NPI Profile

EMERALD COAST UROLOGY, LLC
NPI 1033063268
Urology in Crestview, FL

Active since February 24, 2026CLIA 10D2347698 · Waiver
435 BROOKMEADE DR, CRESTVIEW, FL 32539(850) 605-0550(850) 605-0440 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 18, 2026, Apr 2, 2026 (2 updates tracked since 2026).

About Emerald Coast Urology, Llc NPPES

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

EMERALD COAST UROLOGY, LLC (NPI 1033063268) is a healthcare organization registered as an urology in Crestview, Florida and active in the NPI registry since February 2026. The organization holds a CLIA Waiver certificate valid through July 21, 2028 and lists Joseph William Pugh, Owner, as its authorized official.

NPPES Registry Identity

NPI1033063268
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameEMERALD COAST UROLOGY, LLC
Location Address435 BROOKMEADE DRCrestview, FL 32539-7304
Mailing AddressPo Box 1027Niceville, FL 32588-1027 · (850) 605-0550 · Fax (850) 605-0440
Phone(850) 605-0550
Fax(850) 605-0440
Organization SubpartNo
Authorized OfficialJoseph William PughOwner · (904) 472-7441
Enumeration DateFebruary 24, 2026
Last NPPES UpdateMay 18, 20262 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
✔ NPI 1033063268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
435 BROOKMEADE DR, Crestview, FL 32539
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emerald Coast Urology, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Emerald Coast Urology, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Katerina Fagan, ACNPC-AG
Nurse Practitioner
NPI 1356911671
435 BROOKMEADE DR
Crestview, FL 32539
(850) 605-0550
✔ PECOS✔ Accepts MedicareSame address
Joseph Pugh, M.D.
Urology
NPI 1275605834
435 BROOKMEADE DR
Crestview, FL 32539
(850) 605-0550
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

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 10D2347698

Emerald Coast Urology LLC · Crestview, FL
Active · expires Jul 21, 2028
CLIA Number10D2347698
Laboratory TypePharmacy
Certificate Effective DateJuly 22, 2026
Certificate Expiration DateJuly 21, 2028
Laboratory DirectorJoseph W. Pugh
Laboratory Phone(850) 605-0550
Laboratory LocationEmerald Coast Urology LLC435 Brookmeade Drive, Crestview, FL 32539
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Emerald Coast Urology, LLC's NPI number?

The NPI number for Emerald Coast Urology, LLC is 1033063268. It was assigned to this organization in the NPPES registry on February 24, 2026.

Where is Emerald Coast Urology, LLC located?

Emerald Coast Urology, LLC is located at 435 Brookmeade Dr, Crestview, FL 32539. The listed phone number is (850) 605-0550.

What is Emerald Coast Urology, LLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Emerald Coast Urology, LLC enrolled in Medicare?

Yes. Emerald Coast Urology, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Emerald Coast Urology, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Emerald Coast Urology, LLC, in Nurse Practitioner and Urology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Emerald Coast Urology, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2347698) is associated with this NPI, valid through July 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Emerald Coast Urology, LLC was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.