EMERALD COAST RHEUMATOLOGY LLC
NPI 1427346469
Internal Medicine - Rheumatology in Lynn Haven, FL
About Emerald Coast Rheumatology Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EMERALD COAST RHEUMATOLOGY LLC (NPI 1427346469) is a healthcare organization registered as a rheumatology in Lynn Haven, Florida and active in the NPI registry since July 2011. The organization holds a CLIA Certificate of Compliance certificate valid through July 9, 2027 and lists Aymen A. Kenawy, Ceo / Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 6
Group Practice 1
Accepted Insurance
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 Rheumatology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 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
20Medicare enrollment records show 20 clinicians reassign Medicare billing to Emerald Coast Rheumatology LLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 14 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (20)
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 Compliance 10D2031405
Emerald Coast Rheumatology · Lynn Haven, 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 Rheumatology LLC's NPI number?
The NPI number for Emerald Coast Rheumatology LLC is 1427346469. It was assigned to this organization in the NPPES registry on July 12, 2011.
Where is Emerald Coast Rheumatology LLC located?
Emerald Coast Rheumatology LLC is located at 3890 Jenks Ave, Lynn Haven, FL 32444. The listed phone number is (850) 215-6400.
What is Emerald Coast Rheumatology LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.
Is Emerald Coast Rheumatology LLC enrolled in Medicare?
Yes. Emerald Coast Rheumatology LLC is registered in the Medicare PECOS enrollment system.
When is Emerald Coast Rheumatology LLC'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 March 31, 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 Rheumatology LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 4 Medicare specialties reassign their Medicare billing to Emerald Coast Rheumatology 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 (15), Family Practice (2) and Rheumatology (2). Of these, 6 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Emerald Coast Rheumatology LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 10D2031405) is associated with this NPI, valid through July 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Emerald Coast Rheumatology LLC accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and Ambetter from Buckeye Health Plan and 22 other insurers list Emerald Coast Rheumatology 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 Rheumatology LLC was last updated on January 30, 2026. 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.
# Emerald Coast Rheumatology Llc · NPI 1427346469
Rheumatology organization in Lynn Haven, Florida. Organization record, active in the CMS NPPES registry since July 12, 2011.
## Identity
- **NPI:** 1427346469 (Entity type: Organization)
- **Enumerated:** July 12, 2011
- **Primary specialty:** Internal Medicine - Rheumatology · taxonomy 207RR0500X
- **Organization subpart:** No
- **Authorized official:** Aymen Kenawy, CEO / MEDICAL DIRECTOR
## Practice location
- **Address:** 3890 JENKS AVE, Lynn Haven, FL 32444-4701
- **Phone:** (850) 215-6400 · **Fax:** (850) 215-4440
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 20 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (15), Family Practice (2), Rheumatology (2); 6 practice at this address and 14 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 30, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1427346469) · Data from the CMS NPPES public registry.