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WAYNE P JUSTICE M D P A
NPI 1528397791
Clinic/Center in Niceville, FL

Active since December 16, 2009CLIA 10D0992607 · Waiver
1003 COLLEGE BLVD W STE 2, NICEVILLE, FL 32578(850) 678-0443(850) 678-7999 Get Directions Write a Review

NPPES record last updated: June 14, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Wayne P Justice M D P A NPPES

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

WAYNE P JUSTICE M D P A (NPI 1528397791) is a healthcare organization registered as a clinic/center in Niceville, Florida and active in the NPI registry since December 2009. The organization holds a CLIA Waiver certificate valid through October 21, 2027 and lists Wayne P Justice, President, as its authorized official.

NPPES Registry Identity

NPI1528397791
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameWAYNE P JUSTICE M D P A
Location Address1003 COLLEGE BLVD W STE 2Niceville, FL 32578-1069
Mailing Address1003 College Blvd W Ste 2Niceville, FL 32578-1069 · (850) 678-0443 · Fax (850) 678-7999
Phone(850) 678-0443
Fax(850) 678-7999
Organization SubpartNo
Authorized OfficialWayne P JusticePresident · (850) 678-0443
Enumeration DateDecember 16, 2009
Last NPPES UpdateJune 14, 2010
✔ NPI 1528397791 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).
1003 COLLEGE BLVD W STE 2, Niceville, FL 32578
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Other Identifiers 1

Medicare UPINH52569FL

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wayne P Justice M D P A is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Wayne P Justice M D P A, which bills Medicare for the services this clinician delivers.

Clinician (1)

Wayne Justice, MD
Family Practice
NPI 1487624201
1003 COLLEGE BLVD W STE 2
Niceville, FL 32578
(850) 678-0443
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 10D0992607

Wayne P Justice MD PA · Niceville, FL
Active · expires Oct 21, 2027
CLIA Number10D0992607
Laboratory TypePhysician Office
Certificate Effective DateOctober 22, 2025
Certificate Expiration DateOctober 21, 2027
Laboratory DirectorWayne P. Justice
Laboratory Phone(850) 678-0443
Laboratory LocationWayne P Justice MD PA1003 W College Blvd Ste 2, Niceville, FL 32578
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Wayne P Justice M D P A's NPI number?

The NPI number for Wayne P Justice M D P A is 1528397791. It was assigned to this organization in the NPPES registry on December 16, 2009.

Where is Wayne P Justice M D P A located?

Wayne P Justice M D P A is located at 1003 College Blvd W Ste 2, Niceville, FL 32578. The listed phone number is (850) 678-0443.

What is Wayne P Justice M D P A's specialty?

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

Is Wayne P Justice M D P A enrolled in Medicare?

Yes. Wayne P Justice M D P A is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wayne P Justice M D P A?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Wayne P Justice M D P A. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Wayne P Justice M D P A hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0992607) is associated with this NPI, valid through October 21, 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 Wayne P Justice M D P A was last updated on June 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.