Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GENESIS HEALTH AND WELLNESS, LLC
NPI 1477022028
Physical Medicine & Rehabilitation - Pain Medicine in Fort Walton Beach, FL

Active since November 13, 2018
348 MIRACLE STRIP PKWY SW STE 16A, FORT WALTON BEACH, FL 32548(850) 200-4353(850) 362-6566 Get Directions Write a Review

NPPES record last updated: September 15, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 15, 2026, Jul 15, 2019, Nov 13, 2018 (3 updates tracked since 2018).

About Genesis Health And Wellness, Llc NPPES

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

GENESIS HEALTH AND WELLNESS, LLC (NPI 1477022028), doing business as Premier Interventional Pain Solutions, is a healthcare organization registered as a pain medicine in Fort Walton Beach, Florida and active in the NPI registry since November 2018. The organization lists Kristin Deeken, Cpcs, as its authorized official.

NPPES Registry Identity

NPI1477022028
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameGENESIS HEALTH AND WELLNESS, LLC
Location Address348 MIRACLE STRIP PKWY SW STE 16AFort Walton Beach, FL 32548-5258
Mailing Address348 Miracle Strip Pkwy Sw Ste 16aFort Walton Beach, FL 32548-5258 · (850) 200-4353 · Fax (850) 362-6566
Fax(850) 362-6566
Organization SubpartNo
Authorized OfficialKristin DeekenCpcs · (754) 234-8653
Enumeration DateNovember 13, 2018
Last NPPES UpdateSeptember 15, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2026
✔ NPI 1477022028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
348 MIRACLE STRIP PKWY SW STE 16A, Fort Walton Beach, FL 32548

Other Names 1

Doing Business AsPremier Interventional Pain Solutions

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

Other Providers at the Same Location NPPES

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

Physical Medicine & Rehabilitation
348 MIRACLE STRIP PKWY SW STE 16A
FORT WALTON BEACH, FL 32548

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 Genesis Health And Wellness, LLC's NPI number?

The NPI number for Genesis Health And Wellness, LLC is 1477022028. It was assigned to this organization in the NPPES registry on November 13, 2018. The provider is doing business as Premier Interventional Pain Solutions.

Where is Genesis Health And Wellness, LLC located?

Genesis Health And Wellness, LLC is located at 348 Miracle Strip Pkwy SW Ste 16A, Fort Walton Beach, FL 32548. The listed phone number is (850) 200-4353.

What is Genesis Health And Wellness, LLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

When was this NPI record last updated?

The NPPES record for Genesis Health And Wellness, LLC was last updated on September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.