EMERALD COAST RHEUMATOLOGY LLC - NPI 1427346469 - Internal Medicine in Lynn Haven, FL

Q: 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.

Q: 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.

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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

NPI1427346469

Entity TypeOrganization

Primary Taxonomy207RR0500X

Legal Business NameEMERALD COAST RHEUMATOLOGY LLC

Location Address3890 JENKS AVELynn Haven, FL 32444-4701

Mailing Address3890 Jenks AveLynn Haven, FL 32444-4701 · (850) 215-6400 · Fax (850) 215-4440

Phone(850) 215-6400

Fax(850) 215-4440

Organization SubpartNo

Authorized OfficialAymen A. KenawyCeo / Medical Director · (850) 215-6400

Enumeration DateJuly 12, 2011

Last NPPES UpdateJanuary 30, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 30, 2026

✔ NPI 1427346469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X

Also ListedFamily Medicine · Sleep MedicineTaxonomy 207QS1201X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedNon-Pharmacy Dispensing SiteTaxonomy 332900000X

3890 JENKS AVE, Lynn Haven, FL 32444

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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, FL

Active · expires Jul 9, 2027

CLIA Number10D2031405

Laboratory TypePhysician Office

Certificate Effective DateJuly 10, 2025

Certificate Expiration DateJuly 9, 2027

Laboratory DirectorAymen A. Kenawy

Laboratory Phone(850) 215-6400

Laboratory LocationEmerald Coast Rheumatology3890 Jenks Ave, Lynn Haven, FL 32444

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 6

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

AMANDA SIMMONS

Nurse Practitioner (Family)