ALL SEASONS ALLERGY AND ASTHMA CENTER, P.A.
NPI 1578618104
Allergy & Immunology in Fort Walton Beach, FL

Q: What is All Seasons Allergy And Asthma Center, P.A.'s specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Active since January 24, 2007CLIA Certified · 2 labs

362 BEAL PKWY NW STE 105, FORT WALTON BEACH, FL 32548(850) 862-3020(850) 862-1363 Get Directions Write a Review

NPPES record last updated: October 3, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About All Seasons Allergy And Asthma Center, P.a. NPPES

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

ALL SEASONS ALLERGY AND ASTHMA CENTER, P.A. (NPI 1578618104) is a healthcare organization registered as an allergy & immunology in Fort Walton Beach, Florida and active in the NPI registry since January 2007. The organization holds 2 active CLIA laboratory certificates and lists Justin Clark, Director, as its authorized official.

NPPES Registry Identity

NPI1578618104

Entity TypeOrganization

Primary Taxonomy207K00000X

Legal Business NameALL SEASONS ALLERGY AND ASTHMA CENTER, P.A.

Location Address362 BEAL PKWY NW STE 105Fort Walton Beach, FL 32548-3926

Mailing Address362 Beal Pkwy Nw Ste 105Fort Walton Beach, FL 32548-3926 · (850) 862-3020 · Fax (850) 862-1363

Phone(850) 862-3020

Fax(850) 862-1363

Organization SubpartNo

Authorized OfficialJustin ClarkDirector · (850) 862-3020

Enumeration DateJanuary 24, 2007

Last NPPES UpdateOctober 3, 2017

✔ NPI 1578618104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians

Taxonomy Code207K00000X

License✔ Licensed in FL · OS9224

Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

362 BEAL PKWY NW STE 105, Fort Walton Beach, FL 32548

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Other Identifiers 1

Medicare UPINI01436FL

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellpoint.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

All Seasons Allergy And Asthma Center, 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 All Seasons Allergy And Asthma Center, P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Justin Clark, D.O.

Allergy/Immunology

NPI 1538129085

362 BEAL PKWY NW STE 105
Fort Walton Beach, FL 32548

(850) 862-3020

✔ PECOS✔ Accepts MedicareSame 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 2

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 10D2295706

All Seasons Allergy And Asthma Center PA · Crestview, FL

Active · expires Dec 14, 2027

CLIA Number10D2295706

Laboratory TypePhysician Office

Certificate Effective DateDecember 15, 2025

Certificate Expiration DateDecember 14, 2027

Laboratory DirectorJustin Clark

Laboratory Phone(850) 862-3020

Laboratory LocationAll Seasons Allergy And Asthma Center PA524 West James Lee Blvd, Crestview, FL 32536

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D1075955

All Seasons Allergy And Asthma Center PA · Ft Walton Beach, FL

Active · expires Nov 1, 2027

CLIA Number10D1075955

Laboratory TypePhysician Office

Certificate Effective DateNovember 2, 2025

Certificate Expiration DateNovember 1, 2027

Laboratory DirectorJustin P. Clark

Laboratory Phone(850) 862-3020

Laboratory LocationAll Seasons Allergy And Asthma Center PA362 Beal Parkway Suite 105, Ft Walton Beach, FL 32548

CLIA data matches this NPI record on: Name 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 All Seasons Allergy And Asthma Center, P.A.'s NPI number?

The NPI number for All Seasons Allergy And Asthma Center, P.A. is 1578618104. It was assigned to this organization in the NPPES registry on January 24, 2007.

Where is All Seasons Allergy And Asthma Center, P.A. located?

All Seasons Allergy And Asthma Center, P.A. is located at 362 Beal Pkwy NW Ste 105, Fort Walton Beach, FL 32548. The listed phone number is (850) 862-3020.

What is All Seasons Allergy And Asthma Center, P.A.'s specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is All Seasons Allergy And Asthma Center, P.A. enrolled in Medicare?

Yes. All Seasons Allergy And Asthma Center, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through All Seasons Allergy And Asthma Center, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Allergy/Immunology) reassigns their Medicare billing to All Seasons Allergy And Asthma Center, 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 All Seasons Allergy And Asthma Center, P.A. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does All Seasons Allergy And Asthma Center, P.A. accept?

Health plans from Wellpoint list All Seasons Allergy And Asthma Center, P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for All Seasons Allergy And Asthma Center, P.A. was last updated on October 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.