EMERALD COAST DIRECT PRIMARY CARE LLC
NPI 1154099943
Clinic/Center - Primary Care in Navarre, FL

Active since September 06, 2021CLIA 10D2234192 · Waiver
8764 ORTEGA PARK DR, NAVARRE, FL 32566(850) 407-3646 Get Directions Write a Review

NPPES record last updated: February 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Emerald Coast Direct Primary Care Llc NPPES

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

EMERALD COAST DIRECT PRIMARY CARE LLC (NPI 1154099943) is a healthcare organization registered as a primary care in Navarre, Florida and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through August 29, 2027 and lists Christopher Durant, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1154099943
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameEMERALD COAST DIRECT PRIMARY CARE LLC
Location Address8764 ORTEGA PARK DRNavarre, FL 32566-4139
Mailing Address8764 Ortega Park DrNavarre, FL 32566-4139 · (850) 407-3646
Organization SubpartNo
Authorized OfficialChristopher DurantMedical Director · (850) 407-3646
Enumeration DateSeptember 6, 2021
Last NPPES UpdateFebruary 22, 2024
NPPES CertifiedFebruary 22, 2024
NPI 1154099943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
8764 ORTEGA PARK DR, Navarre, FL 32566

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 10D2234192

Emerald Coast Direct Primary Care LLC · Navarre, FL
Active · expires Aug 29, 2027
CLIA Number10D2234192
Laboratory TypePhysician Office
Certificate Effective DateAugust 30, 2025
Certificate Expiration DateAugust 29, 2027
Laboratory DirectorJoseph A. Bardinelli
Laboratory Phone(850) 860-6265
Laboratory LocationEmerald Coast Direct Primary Care LLC8764 Ortega Park Drive, Navarre, FL 32566
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Physician Assistant
8764 ORTEGA PARK DR
NAVARRE, FL 32566

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 Direct Primary Care LLC's NPI number?

The NPI number for Emerald Coast Direct Primary Care LLC is 1154099943. It was assigned to this organization in the NPPES registry on September 6, 2021.

Where is Emerald Coast Direct Primary Care LLC located?

Emerald Coast Direct Primary Care LLC is located at 8764 Ortega Park Dr, Navarre, FL 32566. The listed phone number is (850) 407-3646.

What is Emerald Coast Direct Primary Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Emerald Coast Direct Primary Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2234192) is associated with this NPI, valid through August 29, 2027. 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 Direct Primary Care LLC was last updated on February 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.