EMERALD COAST UROLOGY
NPI 1174768477
Urology in Fort Walton Beach, FL
About Emerald Coast Urology NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EMERALD COAST UROLOGY (NPI 1174768477) is a healthcare organization registered as an urology in Fort Walton Beach, Florida and active in the NPI registry since December 2008. The organization holds a CLIA Waiver certificate valid through June 24, 2028 and lists Dan Collins, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
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 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
282Medicare enrollment records show 282 clinicians reassign Medicare billing to Emerald Coast Urology, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 19
Nearest to this location (20)
See all 282Source: 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 10D2346220
Genesiscare Usa Of Florida LLC Dba Sunstate Medical S · Fort Walton Beach, FLFrequently 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 Genesiscare Usa Of Florida LLC's NPI number?
The NPI number for Genesiscare Usa Of Florida LLC is 1174768477. It was assigned to this organization in the NPPES registry on December 16, 2008. The provider is doing business as Emerald Coast Urology.
Where is Genesiscare Usa Of Florida LLC located?
Genesiscare Usa Of Florida LLC is located at 909 Mar Walt Dr Suite 1011, Fort Walton Beach, FL 32547. The listed phone number is (850) 683-3377.
What is Genesiscare Usa Of Florida LLC's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Genesiscare Usa Of Florida LLC enrolled in Medicare?
Yes. Genesiscare Usa Of Florida LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Genesiscare Usa Of Florida LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 282 clinicians in 19 Medicare specialties reassign their Medicare billing to Genesiscare Usa Of Florida LLC. 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. The largest specialties are Urology (86), Nurse Practitioner (56) and Radiation Oncology (53). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Genesiscare Usa Of Florida LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2346220) is associated with this NPI, valid through June 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Genesiscare Usa Of Florida LLC accept?
Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Genesiscare Usa Of Florida LLC 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 Genesiscare Usa Of Florida LLC was last updated on August 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Emerald Coast Urology · NPI 1174768477
Urology organization in Fort Walton Beach, Florida. Organization record, active in the CMS NPPES registry since December 16, 2008.
## Identity
- **NPI:** 1174768477 (Entity type: Organization)
- **Enumerated:** December 16, 2008
- **Primary specialty:** Urology · taxonomy 208800000X
- **Legal business name:** Genesiscare Usa Of Florida Llc
- **Organization subpart:** Yes (part of Genesiscare Usa Inc)
- **Authorized official:** Dan Collins, PRESIDENT
## Practice location
- **Address:** 909 MAR WALT DR, SUITE 1011, Fort Walton Beach, FL 32547-6635
- **Phone:** (850) 683-3377
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 282 clinicians in 19 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Urology (86), Nurse Practitioner (56), Radiation Oncology (53); 5 practice within 10 miles; [full list](https://npiprofile.com/npi/1174768477/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 24, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1174768477) · Data from the CMS NPPES public registry.