CALVIN BLOUNT JR MD PA
NPI 1447245691
Family Medicine in Destin, FL

Active since September 14, 2005CLIA 10D0959136 · Waiver
4012 COMMONS DR W STE 120, DESTIN, FL 32541(850) 837-4844(850) 837-6625 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 18, 2026, Mar 7, 2023 (2 updates tracked since 2023).

About Calvin Blount Jr Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CALVIN BLOUNT JR MD PA (NPI 1447245691) is a healthcare organization registered as a family medicine in Destin, Florida and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through April 4, 2027 and lists Calvin L Blount, Ceo, as its authorized official.

NPPES Registry Identity

NPI1447245691
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCALVIN BLOUNT JR MD PA
Location Address4012 COMMONS DR W STE 120Destin, FL 32541-8424
Mailing Address4012 Commons Dr W Ste 120Destin, FL 32541-8424 · (850) 424-5474 · Fax (850) 837-6625
Fax(850) 837-6625
Organization SubpartNo
Authorized OfficialCalvin L BlountCeo · (850) 424-5474
Enumeration DateSeptember 14, 2005
Last NPPES UpdateMay 18, 20262 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
NPI 1447245691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in FL · ME76428
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4012 COMMONS DR W STE 120, Destin, FL 32541

Other Identifiers 3

Other44250Bcbs
Other080146219Mdc Rr
Medicaid255279500FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 10D0959136

Calvin Blount Jr MD PA · Destin, FL
Active · expires Apr 4, 2027
CLIA Number10D0959136
Laboratory TypePhysician Office
Certificate Effective DateApril 5, 2025
Certificate Expiration DateApril 4, 2027
Laboratory DirectorCalvin L. Blount Jr MD
Laboratory Phone(850) 837-4844
Laboratory LocationCalvin Blount Jr MD PA4012 Commons Dr W Suite 120, Destin, FL 32541
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Family Medicine
4012 COMMONS DR W STE 120
DESTIN, FL 32541

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 Calvin Blount Jr MD PA's NPI number?

The NPI number for Calvin Blount Jr MD PA is 1447245691. It was assigned to this organization in the NPPES registry on September 14, 2005.

Where is Calvin Blount Jr MD PA located?

Calvin Blount Jr MD PA is located at 4012 Commons Dr W Ste 120, Destin, FL 32541. The listed phone number is (850) 837-4844.

What is Calvin Blount Jr MD PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Calvin Blount Jr MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0959136) is associated with this NPI, valid through April 4, 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 Calvin Blount Jr MD PA was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.