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NORTH OKALOOSA CLINIC CORP
NPI 1063364420
Clinic/Center - Rural Health in Crestview, FL

Active since February 10, 2026CLIA 10D2019358 · Waiver
550 REDSTONE AVE W STE 470, CRESTVIEW, FL 32536(850) 689-2229(850) 689-2580 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About North Okaloosa Clinic Corp NPPES

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

NORTH OKALOOSA CLINIC CORP (NPI 1063364420), doing business as North Okaloosa Physician Group Ob/gyn Specialists, is a healthcare organization registered as a rural health in Crestview, Florida and active in the NPI registry since February 2026. The organization holds a CLIA Waiver certificate valid through November 14, 2026 and lists Kristy Music, Director Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1063364420
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameNORTH OKALOOSA CLINIC CORP
Location Address550 REDSTONE AVE W STE 470Crestview, FL 32536-6457
Mailing AddressPo Box 689022Franklin, TN 37068-9022 · (615) 465-7429 · Fax (615) 628-6877
Phone(850) 689-2229
Fax(850) 689-2580
Organization SubpartNo
Authorized OfficialKristy MusicDirector Provider Enrollment · (615) 465-7377
Enumeration DateFebruary 10, 2026
NPPES CertifiedFebruary 4, 2026
✔ NPI 1063364420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
550 REDSTONE AVE W STE 470, Crestview, FL 32536
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Other Names 1

Doing Business AsNorth Okaloosa Physician Group Ob/gyn Specialists

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 10D2019358

North Okaloosa Clinic Corp Dba North Okaloosa Physician Group Obgyn Specialists · Crestview, FL
Active · expires Nov 14, 2026
CLIA Number10D2019358
Laboratory TypePhysician Office
Certificate Effective DateNovember 15, 2024
Certificate Expiration DateNovember 14, 2026
Laboratory DirectorJacob R. Lassiter
Laboratory Phone(850) 689-2229
Laboratory LocationNorth Okaloosa Clinic Corp Dba North Okaloosa Physician Group Obgyn Specialists550 W Redstone Ave Ste 470, Crestview, FL 32536
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

ABIGAIL COLES BECK FNP-C
Nurse Practitioner (Family)
550 REDSTONE AVE W STE 470
CRESTVIEW, FL 32536
Okaloosa County (850) 689-2229
DR. JACOB RANDALL LASSITER M.D.
Obstetrics & Gynecology
550 REDSTONE AVE W STE 470
CRESTVIEW, FL 32536
Okaloosa County (850) 689-2229
NORTH OKALOOSA CLINIC CORP
Obstetrics & Gynecology
550 REDSTONE AVE W STE 470
CRESTVIEW, FL 32536
Okaloosa County (850) 689-2229

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 North Okaloosa Clinic Corp's NPI number?

The NPI number for North Okaloosa Clinic Corp is 1063364420. It was assigned to this organization in the NPPES registry on February 10, 2026. The provider is doing business as North Okaloosa Physician Group OB/GYN Specialists.

Where is North Okaloosa Clinic Corp located?

North Okaloosa Clinic Corp is located at 550 Redstone Ave W Ste 470, Crestview, FL 32536. The listed phone number is (850) 689-2229.

What is North Okaloosa Clinic Corp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does North Okaloosa Clinic Corp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2019358) is associated with this NPI, valid through November 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for North Okaloosa Clinic Corp was last updated on February 10, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.