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

NORTH OKALOOSA PHYSICIAN GROUP PULMONO
NPI 1144899014
Internal Medicine - Pulmonary Disease in Crestview, FL

Active since June 23, 2021
550 REDSTONE AVE W STE 490, CRESTVIEW, FL 32536(850) 689-8321(850) 689-8322 Get Directions Write a Review

NPPES record last updated: March 18, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About North Okaloosa Physician Group Pulmono NPPES

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

NORTH OKALOOSA PHYSICIAN GROUP PULMONO (NPI 1144899014) is a healthcare organization registered as a pulmonary disease in Crestview, Florida and active in the NPI registry since June 2021. The organization lists Jennifer L Jackson, Sr Dir Prov Enrollment & Onboarding, as its authorized official.

NPPES Registry Identity

NPI1144899014
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameNORTH OKALOOSA CLINIC CORP
Location Address550 REDSTONE AVE W STE 490Crestview, FL 32536-6457
Mailing AddressPo Box 689022Franklin, TN 37068-9022 · (615) 465-7211 · Fax (615) 628-6877
Phone(850) 689-8321
Fax(850) 689-8322
Organization SubpartNo
Authorized OfficialJennifer L JacksonSr Dir Prov Enrollment & Onboarding · (615) 465-3334
Enumeration DateJune 23, 2021
Last NPPES UpdateMarch 18, 2022
NPPES CertifiedMarch 18, 2022
✔ NPI 1144899014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
550 REDSTONE AVE W STE 490, Crestview, FL 32536
Open in Google Maps ↗

Other Names 2

Doing Business AsNorth Okaloosa Physician Group Pulmono
Doing Business AsNorth Okaloosa Clinic Corp

Other Identifiers 1

Medicaid273693405FL

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

LAUREN WARD COUTURE PA-C
Physician Assistant (Medical)
550 REDSTONE AVE W STE 490
CRESTVIEW, FL 32536
Okaloosa County (850) 689-8321

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 1144899014. It was assigned to this organization in the NPPES registry on June 23, 2021. The provider is doing business as North Okaloosa Physician Group Pulmono.

Where is North Okaloosa Clinic Corp located?

North Okaloosa Clinic Corp is located at 550 Redstone Ave W Ste 490, Crestview, FL 32536. The listed phone number is (850) 689-8321.

What is North Okaloosa Clinic Corp's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

When was this NPI record last updated?

The NPPES record for North Okaloosa Clinic Corp was last updated on March 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.