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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

EMERALD COAST SURGICAL ASSOCIATES, LLC
NPI 1568375541
Surgery in Fort Walton Beach, FL

Active since September 23, 2026
907 MAR WALT DR STE 2011, FORT WALTON BEACH, FL 32547(850) 794-4572(850) 794-4570 Get Directions Write a Review

NPPES record added: September 23, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Emerald Coast Surgical Associates, Llc NPPES

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

EMERALD COAST SURGICAL ASSOCIATES, LLC (NPI 1568375541) is a healthcare organization registered as a surgery in Fort Walton Beach, Florida and active in the NPI registry since September 2026. The organization lists Matthew Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1568375541
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameEMERALD COAST SURGICAL ASSOCIATES, LLC
Location Address907 MAR WALT DR STE 2011Fort Walton Beach, FL 32547-6756
Mailing Address907 Mar Walt Dr Ste 2011Fort Walton Beach, FL 32547-6756 · (850) 794-4572 · Fax (850) 794-4570
Phone(850) 794-4572
Fax(850) 794-4570
Organization SubpartNo
Authorized OfficialMatthew JohnsonOwner · (702) 719-9059
Enumeration DateSeptember 23, 2026
NPPES CertifiedSeptember 23, 2026
✔ NPI 1568375541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
907 MAR WALT DR STE 2011, Fort Walton Beach, FL 32547
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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 SINGLE 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.

CREATIVE ORTHOTIC & PROSTHETIC SERVICES
Prosthetic/Orthotic Supplier
907 MAR WALT DR STE 2011
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 226-8546

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 Emerald Coast Surgical Associates, LLC's NPI number?

The NPI number for Emerald Coast Surgical Associates, LLC is 1568375541. It was assigned to this organization in the NPPES registry on September 23, 2026.

Where is Emerald Coast Surgical Associates, LLC located?

Emerald Coast Surgical Associates, LLC is located at 907 Mar Walt Dr Ste 2011, Fort Walton Beach, FL 32547. The listed phone number is (850) 794-4572.

What is Emerald Coast Surgical Associates, LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Emerald Coast Surgical Associates, LLC was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.