WHITE-WILSON MEDICAL CENTER PA
NPI 1467437277
Clinic/Center in Fort Walton Beach, FL
NPI Status: Active since December 14, 2005
Contact Information
1005 MAR WALT DR
ADMINISTRATION
FORT WALTON BEACH, FL
ZIP 32547
Phone: (850) 863-8131
Fax: (850) 863-4152
- Organization
- Clinic/Center
- Accepts Insurance
- CLIA Number: 10D0271551
- CLIA Cert. Type: Independent
- CLIA Exp. Date: 07-11-2027
About WHITE-WILSON MEDICAL CENTER PA
This page provides the complete NPI Profile along with additional information for White-wilson Medical Center Pa, a provider established in Fort Walton Beach, Florida operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1467437277 assigned on December 2005. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated May 2026. The provider's
- NPI
- 1467437277
- Provider Legal Name
- WHITE-WILSON MEDICAL CENTER PA
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 1005 MAR WALT DR ADMINISTRATION FORT WALTON BEACH, FL 32547
- Location Phone
- (850) 863-8131
- Location Fax
- (850) 863-4152
- Mailing Address
- 1005 MAR WALT DR ADMINISTRATION FORT WALTON BEACH, FL 32547
- Mailing Phone
- (850) 863-8131
- Mailing Fax
- (850) 863-4152
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-14-2005
- Last Update Date
- 05-15-2026
- Code Navigator
Location Map
Secondary Locations
- 1045 Hwy 331 South Suite D
DeFuniak Springs, FL 32435
(850) 892-3366 - 1106 Hospital Rd
Fort Walton Beach, FL 32547
(850) 863-8169 - 999 Mar Walt Dr
Fort Walton Beach, FL 32547
(850) 863-8269 - 8990 Navarre Pkwy
Navarre, FL 32566
(850) 396-0108 - 1110 Hospital Rd
Fort Walton Beach, FL 32547
(850) 863-8100 - 130 E Redstone Ave
Crestview, FL 32539
(850) 398-8725 - 990 Airport Rd
Destin, FL 32541
(850) 269-6400 - 1032 Mar Walt Dr Unit 210
Fort Walton Beach, FL 32547
(850) 863-8260 - 127 E Redstone Ave
Crestview, FL 32539
(850) 398-8725 - 1332 N Ferdon Blvd
Crestview, FL 32536
(850) 634-6193 - 2001 E Highway 20
Niceville, FL 32578
(850) 897-4400
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Complete VALUE Gold - HMO
- Focused VALUE Silver - HMO
- Focused VALUE Silver + Vision + Adult Dental - HMO
- Standard Gold VALUE - HMO
- Standard Silver VALUE - HMO
- Standard Silver VALUE + Vision + Adult Dental - HMO
- Clarity Silver - HMO
- Clarity VALUE Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete VALUE Gold - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite VALUE Bronze - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
- BlueOptions Bronze 24J01-04 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-06 (Rewards) - PPO
- BlueOptions Bronze 24J01-17 ($50 PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-18S ($50 PCP Visits / Rewards) - PPO
- BlueOptions Gold 24J01-09 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - PPO
- BlueOptions Gold 24J01-12 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) - PPO
- BlueOptions Gold 24J01-20S ($30 PCP Visits / $60 Specialist Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-05 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-08 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - PPO
- BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
- BlueCare Bronze 24K01-03 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
- BlueCare Bronze 24K01-05 (Rewards) - POS
- BlueCare Bronze 24K01-25 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
- BlueCare Bronze 24K01-31S ($50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-17 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
- BlueCare Bronze 24K02-18 (Rewards) - POS
- BlueCare Bronze 24K02-23 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
- BlueCare Bronze 24K02-26S ($50 PCP Visits / Rewards) - POS
- BlueCare Gold 24K01-08 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - POS
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 130182500 | MEDICAID (05) | FL |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D0271551
- Facility Type
- Independent
- Certificate Effective Date
- July 12, 2025
- Certificate Expiration Date
- July 11, 2027
- Laboratory Director
- KARL W. METZ
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to White-wilson Medical Center Pa on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
Reviews for WHITE-WILSON MEDICAL CENTER PA
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1467437277, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
FORT WALTON BEACH, FL 32547
FORT WALTON BEACH, FL 32547
FORT WALTON BEACH, FL 32547
FORT WALTON BEACH, FL 32547
FORT WALTON BEACH, FL 32547
FORT WALTON BEACH, FL 32547
FORT WALTON BEACH, FL 32547
FORT WALTON BEACH, FL 32547
FORT WALTON BEACH, FL 32547
FORT WALTON BEACH, FL 32547
FORT WALTON BEACH, FL 32547
FORT WALTON BEACH, FL 32547
FORT WALTON BEACH, FL 32547
FT WALTON BEACH, FL 32547
FORT WALTON BEACH, FL 32547
FORT WALTON BEACH, FL 32547
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467437277, enumerated as an "organization" on December 14, 2005.
The provider is located at 1005 MAR WALT DR ADMINISTRATION FORT WALTON BEACH, FL 32547 and the phone number is (850) 863-8131.
Clinic/Center with taxonomy code 261Q00000X.
The provider might be accepting Accepts: Ambetter from Superior HealthPlan, Ambetter. Please consult your insurance carrier or call the provider to verify.
