EMERALD COAST NECK & BACK CLINIC, P.A.
NPI 1386916237
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Niceville, FL
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
Specialties & Licenses 2
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Emerald Coast Neck & Back Clinic, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Emerald Coast Neck & Back Clinic, P.A., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Emerald Coast Neck & Back Clinic, P.A. enrolled in Medicare?
Yes. Emerald Coast Neck & Back Clinic, P.A. is registered in the Medicare PECOS enrollment system.
When is Emerald Coast Neck & Back Clinic, P.A.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Emerald Coast Neck & Back Clinic, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orthopedic Surgery) reassigns their Medicare billing to Emerald Coast Neck & Back Clinic, P.A.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Emerald Coast Neck & Back Clinic, P.a. · NPI 1386916237
Orthopaedic Surgery of the Spine organization in Niceville, Florida. Organization record, active in the CMS NPPES registry since February 7, 2012.
## Identity
- **NPI:** 1386916237 (Entity type: Organization)
- **Enumerated:** February 7, 2012
- **Primary specialty:** Orthopaedic Surgery - Orthopaedic Surgery of the Spine · taxonomy 207XS0117X
- **Organization subpart:** No
- **Authorized official:** Christo Koulisis, PRESIDENT
## Practice location
- **Address:** 1003 COLLEGE BLVD W, SUITE 4, Niceville, FL 32578-1068
- **Phone:** (850) 279-6485 · **Fax:** (850) 279-6546
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Orthopedic Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 29, 2022
- **Other identifiers:** Other 162510700 (FL); Other 07915 (FL); Medicaid 256355000 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1386916237) · Data from the CMS NPPES public registry.