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EMERALD COAST HEART & AFIB, PLLC
NPI 1578388229
Internal Medicine - Clinical Cardiac Electrophysiology in Crestview, FL

Active since November 18, 2024
550 REDSTONE AVE W STE 430, CRESTVIEW, FL 32536(850) 602-0094 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Emerald Coast Heart & Afib, Pllc NPPES

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

EMERALD COAST HEART & AFIB, PLLC (NPI 1578388229) is a healthcare organization registered as a clinical cardiac electrophysiology in Crestview, Florida and active in the NPI registry since November 2024. The organization lists Ian Landon Weisberg, Owner, Physician, as its authorized official.

NPPES Registry Identity

NPI1578388229
Entity TypeOrganization
Primary Taxonomy207RC0001X
Legal Business NameEMERALD COAST HEART & AFIB, PLLC
Location Address550 REDSTONE AVE W STE 430Crestview, FL 32536-6457
Mailing Address550 Redstone Ave W Ste 430Crestview, FL 32536-6457 · (850) 854-3278
Phone(850) 602-0094
Organization SubpartNo
Authorized OfficialIan Landon WeisbergOwner, Physician · (850) 854-3278
Enumeration DateNovember 18, 2024
Last NPPES UpdateJanuary 22, 2025
NPPES CertifiedJanuary 22, 2025
✔ NPI 1578388229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
Definition
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
550 REDSTONE AVE W STE 430, Crestview, FL 32536
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emerald Coast Heart & Afib, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Emerald Coast Heart & Afib, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Ian Weisberg, MD
Cardiac Electrophysiology
NPI 1134297385
550 REDSTONE AVE W STE 430
Crestview, FL 32536
(850) 854-3278
✔ PECOS✔ Accepts MedicareSame address
Kelly Smidebush, ARNP
Nurse Practitioner
NPI 1104176833
129 E REDSTONE AVE SUITE A
Crestview, FL 32539
(850) 682-7212
✔ PECOS✔ Accepts Medicare0.2 mi

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

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 Heart & Afib, PLLC's NPI number?

The NPI number for Emerald Coast Heart & Afib, PLLC is 1578388229. It was assigned to this organization in the NPPES registry on November 18, 2024.

Where is Emerald Coast Heart & Afib, PLLC located?

Emerald Coast Heart & Afib, PLLC is located at 550 Redstone Ave W Ste 430, Crestview, FL 32536. The listed phone number is (850) 602-0094.

What is Emerald Coast Heart & Afib, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is Emerald Coast Heart & Afib, PLLC enrolled in Medicare?

Yes. Emerald Coast Heart & Afib, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Emerald Coast Heart & Afib, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Emerald Coast Heart & Afib, PLLC, in Cardiac Electrophysiology and Nurse Practitioner. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Emerald Coast Heart & Afib, PLLC was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.