EMERALD COAST URGENT CARE LLC
NPI 1396865556
Clinic/Center - Urgent Care in Destin, FL
About Emerald Coast Urgent Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EMERALD COAST URGENT CARE LLC (NPI 1396865556) is a healthcare organization registered as an urgent care in Destin, Florida and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through August 28, 2027 and lists Timothy Paul Nichols, Owner President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Emerald Coast Urgent Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Emerald Coast Urgent Care LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (10)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 10D1073022
Emerald Coast Urgent Care LLC · Destin, FLFrequently 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 Urgent Care LLC's NPI number?
The NPI number for Emerald Coast Urgent Care LLC is 1396865556. It was assigned to this organization in the NPPES registry on March 30, 2007.
Where is Emerald Coast Urgent Care LLC located?
Emerald Coast Urgent Care LLC is located at 12598 Highway 98 Suite 101, Destin, FL 32552. The listed phone number is (850) 654-8878.
What is Emerald Coast Urgent Care LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Emerald Coast Urgent Care LLC enrolled in Medicare?
Yes. Emerald Coast Urgent Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Emerald Coast Urgent Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Emerald Coast Urgent Care LLC. 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. The largest specialties are Nurse Practitioner (8), Family Practice (1) and General Practice (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Emerald Coast Urgent Care LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D1073022) is associated with this NPI, valid through August 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Emerald Coast Urgent Care LLC accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Emerald Coast Urgent Care LLC 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 Emerald Coast Urgent Care LLC was last updated on February 21, 2023. 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 Urgent Care Llc · NPI 1396865556
Urgent Care organization in Destin, Florida. Organization record, active in the CMS NPPES registry since March 30, 2007.
## Identity
- **NPI:** 1396865556 (Entity type: Organization)
- **Enumerated:** March 30, 2007
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Organization subpart:** No
- **Authorized official:** Timothy Nichols, OWNER PRESIDENT
## Practice location
- **Address:** 12598 HIGHWAY 98, SUITE 101, Destin, FL 32552
- **Phone:** (850) 654-8878 · **Fax:** (850) 654-8840
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (8), Family Practice (1), General Practice (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 21, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1396865556) · Data from the CMS NPPES public registry.