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WHITE-WILSON MEDICAL CENTER PA
NPI 1467437277
Clinic/Center in Fort Walton Beach, FL

Active since December 14, 2005CLIA Certified · 3 labs
1005 MAR WALT DR, ADMINISTRATION, FORT WALTON BEACH, FL 32547(850) 863-8131(850) 863-4152 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 15, 2026, Nov 15, 2019 (2 updates tracked since 2019).

About White-wilson Medical Center Pa NPPES

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

WHITE-WILSON MEDICAL CENTER PA (NPI 1467437277), doing business as White-wilson Medical Center, is a healthcare organization registered as a clinic/center in Fort Walton Beach, Florida and active in the NPI registry since December 2005. The organization holds 3 active CLIA laboratory certificates, maintains 11 additional practice locations, and lists Kathy A Leeper, Medical Staff Coordinator, as its authorized official.

NPPES Registry Identity

NPI1467437277
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameWHITE-WILSON MEDICAL CENTER PA
Location Address1005 MAR WALT DR, ADMINISTRATIONFort Walton Beach, FL 32547-6707
Mailing Address1005 Mar Walt Dr, AdministrationFort Walton Beach, FL 32547-6707 · (850) 863-8131 · Fax (850) 863-4152
Phone(850) 863-8131
Fax(850) 863-4152
Organization SubpartNo
Authorized OfficialKathy A LeeperMedical Staff Coordinator · (850) 863-8150
Enumeration DateDecember 14, 2005
Last NPPES UpdateMay 15, 20262 updates tracked since enumeration
NPPES CertifiedMay 15, 2026
✔ NPI 1467437277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

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).

1005 MAR WALT DR, Fort Walton Beach, FL 32547
Open in Google Maps ↗

Other Names 1

Doing Business AsWhite-wilson Medical Center

Secondary Practice Locations 11

Location 11045 Hwy 331 South, Suite DDeFuniak Springs, FL 32435-3379 · Phone (850) 892-3366 · Fax (833) 451-2226
Location 21106 Hospital RdFort Walton Beach, FL 32547-6742 · Phone (850) 863-8169 · Fax (833) 916-2251
Location 3999 Mar Walt DrFort Walton Beach, FL 32547-6758 · Phone (850) 863-8269 · Fax (833) 916-2269
Location 48990 Navarre PkwyNavarre, FL 32566-2216 · Phone (850) 396-0108 · Fax (850) 939-4933
Location 51110 Hospital RdFort Walton Beach, FL 32547-6742 · Phone (850) 863-8100 · Fax (850) 863-8548
Location 6130 E Redstone AveCrestview, FL 32539-5348 · Phone (850) 398-8725 · Fax (833) 305-0361
Location 7990 Airport RdDestin, FL 32541-2820 · Phone (850) 269-6400 · Fax (850) 654-9581
Location 81032 Mar Walt Dr Unit 210Fort Walton Beach, FL 32547-6661 · Phone (850) 863-8260 · Fax (833) 916-2248
Location 9127 E Redstone AveCrestview, FL 32539-5358 · Phone (850) 398-8725 · Fax (833) 305-0362
Location 101332 N Ferdon BlvdCrestview, FL 32536-1749 · Phone (850) 634-6193 · Fax (833) 741-3080
Location 112001 E Highway 20Niceville, FL 32578-8826 · Phone (850) 897-4400 · Fax (850) 897-0623

Other Identifiers 1

Medicaid130182500FL

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 3

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 Accreditation 10D0271551

White-Wilson Medical Center - Fort Walton Beach · Fort Walton Beach, FL
Active · expires Jul 11, 2027
CLIA Number10D0271551
Laboratory TypeIndependent
Certificate Effective DateJuly 12, 2025
Certificate Expiration DateJuly 11, 2027
Laboratory DirectorKarl W. Metz
Laboratory Phone(850) 863-8100
Laboratory LocationWhite-Wilson Medical Center - Fort Walton Beach1005 Mar Walt Drive, Fort Walton Beach, FL 32547
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 10D2117251

White Wilson Medical Center Immediate Care Navarre · Navarre, FL
Active · expires Aug 11, 2026
CLIA Number10D2117251
Laboratory TypePhysician Office
Certificate Effective DateAugust 12, 2024
Certificate Expiration DateAugust 11, 2026
Laboratory DirectorChinh V. Van
Laboratory Phone(850) 863-8284
Laboratory LocationWhite Wilson Medical Center Immediate Care Navarre8990 Navarre Pkwy, Navarre, FL 32566
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2023812

White Wilson Medical Center PA - Navarre · Navarre, FL
Active · expires Aug 8, 2026
CLIA Number10D2023812
Laboratory TypePhysician Office
Certificate Effective DateAugust 9, 2024
Certificate Expiration DateAugust 8, 2026
Laboratory DirectorDr. Karl Walter Metz
Laboratory Phone(850) 863-8284
Laboratory LocationWhite Wilson Medical Center PA - Navarre8990 Navarre Pkwy, Navarre, FL 32566
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

PETER H SHIH M.D.
Internal Medicine (Critical Care Medicine)
1005 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 243-0118
DR. TERRY L PAYNE M.D.
Family Medicine
1005 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-6600
LESLIE MARIE ANDERSON LDN RD
Dietitian, Registered
1005 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-6600
DR. KARL WALTER METZ M.D.
Obstetrics & Gynecology (Gynecology)
1005 MAR WALT DR, LABORATORY
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-8109
WHITE-WILSON MEDICAL CENTER, P.A.
Family Medicine
1005 MAR WALT DR, FP DEPARTMENT
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-6600
BRIANNE FREEL
Nurse Practitioner (Family)
1005 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-6600
MICHAEL ANDREW JOHNSON PA-C
Physician Assistant
1005 MAR WALT DR, INTERNAL MEDICINE DEPARTMENT
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-8202
MR. FABIAN RODRIGUEZ NP
Nurse Practitioner (Family)
1005 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-8100

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 White-Wilson Medical Center PA's NPI number?

The NPI number for White-Wilson Medical Center PA is 1467437277. It was assigned to this organization in the NPPES registry on December 14, 2005. The provider is doing business as White-Wilson Medical Center.

Where is White-Wilson Medical Center PA located?

White-Wilson Medical Center PA is located at 1005 Mar Walt Dr Administration, Fort Walton Beach, FL 32547. The listed phone number is (850) 863-8131.

What is White-Wilson Medical Center PA's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does White-Wilson Medical Center PA hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does White-Wilson Medical Center PA accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list White-Wilson Medical Center PA 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 White-Wilson Medical Center PA was last updated on May 15, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.