WHITE-WILSON MED CTR-DESTIN PEDS - NPI 1184761538

Q: What is White-Wilson Medical Center, P.A.'s NPI number?

The NPI number for White-Wilson Medical Center, P.A. is 1184761538. It was assigned to this organization in the NPPES registry on February 1, 2007.

Q: What is White-Wilson Medical Center, P.A.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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About White-wilson Med Ctr-destin Peds NPPES

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

WHITE-WILSON MED CTR-DESTIN PEDS (NPI 1184761538) is a healthcare organization registered as a pediatrics in Destin, Florida and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through March 16, 2028 and lists Douglas W Rigby, President, as its authorized official.

NPPES Registry Identity

NPI1184761538

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameWHITE-WILSON MEDICAL CENTER, P.A.

Location Address990 AIRPORT RD, PEDIATRIC DEPARTMENTDestin, FL 32541-2820

Mailing Address1005 Mar Walt Dr, Business OfficeFort Walton Beach, FL 32547-6707 · (850) 863-8105 · Fax (850) 863-8548

Phone(850) 837-3848

Fax(850) 654-9581

Organization SubpartNo

Authorized OfficialDouglas W RigbyPresident · (850) 863-8131

Enumeration DateFebruary 1, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1184761538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

990 AIRPORT RD, Destin, FL 32541

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Other Names 1

Doing Business AsWhite-wilson Med Ctr-destin Peds

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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 10D2117250

White Wilson Medical Center PA Immediate Care · Destin, FL

Active · expires Mar 16, 2028

CLIA Number10D2117250

Laboratory TypePhysician Office

Certificate Effective DateMarch 17, 2026

Certificate Expiration DateMarch 16, 2028

Laboratory DirectorChinh V. Van

Laboratory Phone(850) 863-8284

Laboratory LocationWhite Wilson Medical Center PA Immediate Care990 Airport Rd, Destin, FL 32541

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

MRS. MARY JEAN MARIE MIDDLETON FNP-C

Nurse Practitioner (Family)