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COMMONS DRIVE FAMILY MEDICINE
NPI 1235515727
Family Medicine in Destin, FL

Active since August 06, 2015CLIA 10D2043329 · Waiver
4012 COMMONS DR W STE 112, DESTIN, FL 32541(304) 552-7412 Get Directions Write a Review

NPPES record last updated: August 6, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Commons Drive Family Medicine NPPES

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

COMMONS DRIVE FAMILY MEDICINE (NPI 1235515727) is a healthcare organization registered as a family medicine in Destin, Florida and active in the NPI registry since August 2015. The organization holds a CLIA Waiver certificate valid through February 4, 2027 and lists Mohamad S Kalou, Owner, as its authorized official.

NPPES Registry Identity

NPI1235515727
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOMMONS DRIVE FAMILY MEDICINE
Location Address4012 COMMONS DR W STE 112Destin, FL 32541-8424
Mailing Address4012 Commons Dr W Ste 112Destin, FL 32541-8424 · (304) 552-7412
Phone(304) 552-7412
Organization SubpartNo
Authorized OfficialMohamad S KalouOwner · (304) 552-7412
Enumeration DateAugust 6, 2015
✔ NPI 1235515727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME119611
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4012 COMMONS DR W STE 112, Destin, FL 32541
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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 SINGLE SPECIALTY GROUP

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 10D2043329

Commons Drive Family Medicine Inc · Destin, FL
Active · expires Feb 4, 2027
CLIA Number10D2043329
Laboratory TypePhysician Office
Certificate Effective DateFebruary 5, 2025
Certificate Expiration DateFebruary 4, 2027
Laboratory DirectorKalou S. Mohamad
Laboratory Phone(304) 926-2300
Laboratory LocationCommons Drive Family Medicine Inc4012 Commons Dr Ste 112, Destin, FL 32541
CLIA data matches this NPI record on: 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.

COMMONS DRIVE FAMILY MEDICINE, LLC
Family Medicine
4012 COMMONS DR W STE 112
DESTIN, FL 32541
Okaloosa County (850) 650-2600

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 Commons Drive Family Medicine's NPI number?

The NPI number for Commons Drive Family Medicine is 1235515727. It was assigned to this organization in the NPPES registry on August 6, 2015.

Where is Commons Drive Family Medicine located?

Commons Drive Family Medicine is located at 4012 Commons Dr W Ste 112, Destin, FL 32541. The listed phone number is (304) 552-7412.

What is Commons Drive Family Medicine's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Commons Drive Family Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2043329) is associated with this NPI, valid through February 4, 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 Commons Drive Family Medicine was last updated on August 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.