GULF COAST IMMEDIATE CARE CENTER INC.
NPI 1437113057
Clinic/Center - Primary Care in Fort Walton Beach, FL
About Gulf Coast Immediate Care Center Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GULF COAST IMMEDIATE CARE CENTER INC. (NPI 1437113057) is a healthcare organization registered as a primary care in Fort Walton Beach, Florida and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through July 22, 2027 and lists Robert V Siegel, Medical Director/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gulf Coast Immediate Care Center Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Gulf Coast Immediate Care Center Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Fort Walton Beach, FL 32548
Fort Walton Beach, FL 32548
Fort Walton Beach, FL 32547
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 10D0855793
Gulf Coast Immediate Care Center · Fort Walton Beach, 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 Gulf Coast Immediate Care Center Inc.'s NPI number?
The NPI number for Gulf Coast Immediate Care Center Inc. is 1437113057. It was assigned to this organization in the NPPES registry on April 12, 2006.
Where is Gulf Coast Immediate Care Center Inc. located?
Gulf Coast Immediate Care Center Inc. is located at 345 Miracle Strip Pkwy SW, Fort Walton Beach, FL 32548. The listed phone number is (850) 244-3211.
What is Gulf Coast Immediate Care Center Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Gulf Coast Immediate Care Center Inc. enrolled in Medicare?
Yes. Gulf Coast Immediate Care Center Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Gulf Coast Immediate Care Center Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Gulf Coast Immediate Care Center Inc.. 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 (3) and General Practice (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Gulf Coast Immediate Care Center Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D0855793) is associated with this NPI, valid through July 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Gulf Coast Immediate Care Center Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Gulf Coast Immediate Care Center Inc. · NPI 1437113057
Primary Care organization in Fort Walton Beach, Florida. Organization record, active in the CMS NPPES registry since April 12, 2006.
## Identity
- **NPI:** 1437113057 (Entity type: Organization)
- **Enumerated:** April 12, 2006
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Robert Siegel, MEDICAL DIRECTOR/OWNER
## Practice location
- **Address:** 345 MIRACLE STRIP PKWY SW, Fort Walton Beach, FL 32548-5210
- **Phone:** (850) 244-3211 · **Fax:** (850) 243-1992
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), General Practice (1); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1437113057) · Data from the CMS NPPES public registry.