EMERALD COAST NECK & BACK CLINIC, P.A.
NPI 1386916237
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Niceville, FL

Q: What is Emerald Coast Neck & Back Clinic, P.A.'s specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Active since February 07, 2012

1003 COLLEGE BLVD W, SUITE 4, NICEVILLE, FL 32578(850) 279-6485(850) 279-6546 Get Directions Write a Review

NPPES record last updated: December 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Emerald Coast Neck & Back Clinic, P.a. NPPES

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

EMERALD COAST NECK & BACK CLINIC, P.A. (NPI 1386916237) is a healthcare organization registered as an orthopaedic surgery of the spine in Niceville, Florida and active in the NPI registry since February 2012. The organization lists Christo W. Koulisis, President, as its authorized official.

NPPES Registry Identity

NPI1386916237

Entity TypeOrganization

Primary Taxonomy207XS0117X

Legal Business NameEMERALD COAST NECK & BACK CLINIC, P.A.

Location Address1003 COLLEGE BLVD W, SUITE 4Niceville, FL 32578-1068

Mailing Address1003 College Blvd W, Suite 4Niceville, FL 32578-1068 · (850) 279-6485 · Fax (850) 279-6546

Phone(850) 279-6485

Fax(850) 279-6546

Organization SubpartNo

Authorized OfficialChristo W. KoulisisPresident · (850) 279-6485

Enumeration DateFebruary 7, 2012

Last NPPES UpdateDecember 29, 2022

NPPES CertifiedDecember 29, 2022

✔ NPI 1386916237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians

Taxonomy Code207XS0117X

License✔ Licensed in FL · ME0053933

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License ME0053933 (FL)

1003 COLLEGE BLVD W, Niceville, FL 32578

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Other Identifiers 3

Other162510700FL · Department Of Labor

Other07915FL · Blue Cross Blue Shield

Medicaid256355000FL

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

MR. CORY MARCUS SCOTT P.T.

Physical Therapist

1003 COLLEGE BLVD W, SUITE 1
NICEVILLE, FL 32578

Okaloosa County (850) 862-1999

BRENDA K MOORE DO PA

Clinic/Center

1003 COLLEGE BLVD W, SUITE #2
NICEVILLE, FL 32578

Okaloosa County (850) 678-0443

WAYNE P JUSTICE MD

Family Medicine

1003 COLLEGE BLVD W, STE 2
NICEVILLE, FL 32578

Okaloosa County (850) 678-0443

CHRISTO W KOULISIS MD

Specialist

1003 COLLEGE BLVD W, SUITE 4
NICEVILLE, FL 32578

Okaloosa County (850) 279-6789

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 Neck & Back Clinic, P.A.'s NPI number?

The NPI number for Emerald Coast Neck & Back Clinic, P.A. is 1386916237. It was assigned to this organization in the NPPES registry on February 7, 2012.

Where is Emerald Coast Neck & Back Clinic, P.A. located?

Emerald Coast Neck & Back Clinic, P.A. is located at 1003 College Blvd W Suite 4, Niceville, FL 32578. The listed phone number is (850) 279-6485.

What is Emerald Coast Neck & Back Clinic, P.A.'s specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

When was this NPI record last updated?

The NPPES record for Emerald Coast Neck & Back Clinic, P.A. was last updated on December 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.