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DIANA HEALTH FL P.A.
NPI 1194591966
Obstetrics & Gynecology in Fort Walton Beach, FL

Active since December 01, 2023CLIA Certified · 3 labs
1046 MAR WALT DR, SUITE 200, FORT WALTON BEACH, FL 32547(850) 243-2229 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 24, 2025, Jul 11, 2024, Feb 5, 2024 (3 updates tracked since 2024).

About Diana Health Fl P.a. NPPES

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

DIANA HEALTH FL P.A. (NPI 1194591966) is a healthcare organization registered as an obstetrics & gynecology in Fort Walton Beach, Florida and active in the NPI registry since December 2023. The organization holds 3 active CLIA laboratory certificates, maintains 3 additional practice locations, and lists Caitlin Eisenbarth, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1194591966
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameDIANA HEALTH FL P.A.
Location Address1046 MAR WALT DR, SUITE 200Fort Walton Beach, FL 32547
Mailing Address178 Columbus Ave, #237190 Smb#33783New York, NY 10023
Phone(850) 243-2229
Organization SubpartNo
Authorized OfficialCaitlin EisenbarthPayer Relations · (850) 243-2229
Enumeration DateDecember 1, 2023
Last NPPES UpdateNovember 24, 20253 updates tracked since enumeration
NPPES CertifiedNovember 24, 2025
✔ NPI 1194591966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X
Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X
1046 MAR WALT DR, Fort Walton Beach, FL 32547
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Secondary Practice Locations 3

Location 12770 Capital Medical Blvd Ste 220Tallahassee, FL 32308-8417 · Phone (850) 391-3880
Location 23627 University Blvd S Ste 200Jacksonville, FL 32216-4256 · Phone (904) 296-3200
Location 31061 Medical Center Dr Ste 102Orange City, FL 32763-8225 · Phone (386) 456-3852

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 Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 4

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 10D1050081

Diana Health Fl, PA · Fort Walton Beach, FL
Active · expires Jan 24, 2028
CLIA Number10D1050081
Laboratory TypePhysician Office
Certificate Effective DateJanuary 25, 2026
Certificate Expiration DateJanuary 24, 2028
Laboratory DirectorMichael H. Hennessey
Laboratory Phone(850) 243-2229
Laboratory LocationDiana Health Fl, PA1046 Mar Walt Dr Ste 200, Fort Walton Beach, FL 32547
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2316649

Diana Health Fl PA · Orange City, FL
Active · expires Mar 11, 2027
CLIA Number10D2316649
Laboratory TypePhysician Office
Certificate Effective DateMarch 12, 2025
Certificate Expiration DateMarch 11, 2027
Laboratory DirectorMarcella Patricia Camelia Facey
Laboratory Phone(386) 456-3852
Laboratory LocationDiana Health Fl PA1061 Medical Center Drive Suite 102, Orange City, FL 32763
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2330915

Diana Health Fl PA Diana Health Jacksonville · Jacksonville, FL
Active · expires Sep 23, 2027
CLIA Number10D2330915
Laboratory TypePhysician Office
Certificate Effective DateSeptember 24, 2025
Certificate Expiration DateSeptember 23, 2027
Laboratory DirectorJames A. Reed
Laboratory Phone(904) 296-3200
Laboratory LocationDiana Health Fl PA Diana Health Jacksonville3627 University Blvd S, Suite 200, Jacksonville, FL 32216
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2308959

Diana Health Fl PA Diana Health Tallahassee · Tallahassee, FL
Expired · Aug 6, 2026
CLIA Number10D2308959
Laboratory TypePhysician Office
Certificate Effective DateAugust 7, 2024
Certificate Expiration DateAugust 6, 2026
Laboratory DirectorShawn Ramsey
Laboratory Phone(850) 391-3880
Laboratory LocationDiana Health Fl PA Diana Health Tallahassee2770 Capital Medical Blvd Suite 220, Tallahassee, FL 32308
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Diana Health Fl P.A.'s NPI number?

The NPI number for Diana Health Fl P.A. is 1194591966. It was assigned to this organization in the NPPES registry on December 1, 2023.

Where is Diana Health Fl P.A. located?

Diana Health Fl P.A. is located at 1046 Mar Walt Dr Suite 200, Fort Walton Beach, FL 32547. The listed phone number is (850) 243-2229.

What is Diana Health Fl P.A.'s specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Diana Health Fl P.A. hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Diana Health Fl P.A. accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Diana Health Fl P.A. 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 Diana Health Fl P.A. was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.