1. Home
  2. Directory
  3. Florida
  4. Crestview
  5. Obstetrics Gynecology
  6. NPI Profile

NORTH OKALOOSA CLINIC CORP
NPI 1508438615
Obstetrics & Gynecology in Crestview, FL

Active since July 16, 2021
550 REDSTONE AVE W STE 470, CRESTVIEW, FL 32536(850) 689-2229(850) 689-2580 Get Directions Write a Review

NPPES record last updated: March 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About North Okaloosa Clinic Corp NPPES

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

NORTH OKALOOSA CLINIC CORP (NPI 1508438615) is a healthcare organization registered as an obstetrics & gynecology in Crestview, Florida and active in the NPI registry since July 2021. The organization lists Jennifer L Jackson, Sr Dir Prov Enrollment & Onboarding, as its authorized official.

NPPES Registry Identity

NPI1508438615
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameNORTH OKALOOSA CLINIC CORP
Location Address550 REDSTONE AVE W STE 470Crestview, FL 32536-6457
Mailing AddressPo Box 689022Franklin, TN 37068-9022 · (615) 465-7211 · Fax (615) 628-6877
Phone(850) 689-2229
Fax(850) 689-2580
Organization SubpartNo
Authorized OfficialJennifer L JacksonSr Dir Prov Enrollment & Onboarding · (615) 465-3334
Enumeration DateJuly 16, 2021
Last NPPES UpdateMarch 18, 2022
NPPES CertifiedMarch 18, 2022
✔ NPI 1508438615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
550 REDSTONE AVE W STE 470, Crestview, FL 32536
Open in Google Maps ↗

Other Names 2

Doing Business AsNorth Okaloosa Clinic Corp
Doing Business AsOkaloosa Obgyn

Other Identifiers 1

Medicaid273693411FL

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

NORTH OKALOOSA CLINIC CORP
Clinic/Center (Rural Health)
550 REDSTONE AVE W STE 470
CRESTVIEW, FL 32536
Okaloosa County (850) 689-2229
ABIGAIL COLES BECK FNP-C
Nurse Practitioner (Family)
550 REDSTONE AVE W STE 470
CRESTVIEW, FL 32536
Okaloosa County (850) 689-2229
DR. JACOB RANDALL LASSITER M.D.
Obstetrics & Gynecology
550 REDSTONE AVE W STE 470
CRESTVIEW, FL 32536
Okaloosa County (850) 689-2229

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 North Okaloosa Clinic Corp's NPI number?

The NPI number for North Okaloosa Clinic Corp is 1508438615. It was assigned to this organization in the NPPES registry on July 16, 2021. The provider is doing business as Okaloosa Obgyn.

Where is North Okaloosa Clinic Corp located?

North Okaloosa Clinic Corp is located at 550 Redstone Ave W Ste 470, Crestview, FL 32536. The listed phone number is (850) 689-2229.

What is North Okaloosa Clinic Corp's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for North Okaloosa Clinic Corp was last updated on March 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.