SOUTH WALTON ACADEMY, INC.
NPI 1568964278
Clinic/Center in Santa Rosa Beach, FL

Q: What is South Walton Academy, Inc.'s NPI number?

The NPI number for South Walton Academy, Inc. is 1568964278. It was assigned to this organization in the NPPES registry on March 8, 2018.

Q: What is South Walton Academy, Inc.'s specialty?

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

Active since March 08, 2018

305 MACK BAYOU RD, SANTA ROSA BEACH, FL 32459(850) 213-4595(850) 213-4596 Get Directions Write a Review

NPPES record last updated: January 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 25, 2021, Dec 4, 2019, Jun 11, 2019 and 2 more (5 updates tracked since 2018).

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About South Walton Academy, Inc. NPPES

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

SOUTH WALTON ACADEMY, INC. (NPI 1568964278) is a healthcare organization registered as a clinic/center in Santa Rosa Beach, Florida and active in the NPI registry since March 2018. The organization lists Calley G Middlebrooks, Developmental Therapist, as its authorized official.

NPPES Registry Identity

NPI1568964278

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameSOUTH WALTON ACADEMY, INC.

Location Address305 MACK BAYOU RDSanta Rosa Beach, FL 32459-7199

Mailing Address305 Mack Bayou RdSanta Rosa Beach, FL 32459-7199 · (850) 213-4595 · Fax (850) 213-4596

Phone(850) 213-4595

Fax(850) 213-4596

Organization SubpartNo

Authorized OfficialCalley G MiddlebrooksDevelopmental Therapist · (850) 213-4595

Enumeration DateMarch 8, 2018

Last NPPES UpdateJanuary 25, 20215 updates tracked since enumeration

NPPES CertifiedJanuary 25, 2021

✔ NPI 1568964278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ 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).

Also ListedBehavior AnalystTaxonomy 103K00000X

Also ListedBehavior TechnicianTaxonomy 106S00000X

Also ListedPhysical TherapistTaxonomy 225100000X

Also ListedOccupational TherapistTaxonomy 225X00000X

Also ListedSpeech-Language PathologistTaxonomy 235Z00000X

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X

305 MACK BAYOU RD, Santa Rosa Beach, FL 32459

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Other Identifiers 1

Medicaid1255535597FL

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and more.Insurance ›

Other Providers at the Same Location NPPES 9

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

TRACEY SCHULTZ BCBA

Behavior Analyst