Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GREGORY PAUL STAVISKI M.D.
NPI 1619934379
Specialist in Mary Esther, FL

Q: What is Gregory Staviski's NPI number?

The NPI number for Gregory Staviski is 1619934379. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Q: What is Gregory Staviski's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Gregory Staviski was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 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.

Active since April 27, 2006PECOS Enrolled

151 MARY ESTHER BLVD, SUITE 303, MARY ESTHER, FL 32569(850) 243-7788(850) 243-7738 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Gregory Paul Staviski M.d. NPPES

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

GREGORY PAUL STAVISKI M.D. (NPI 1619934379) is an individual specialist in Mary Esther, Florida, licensed in Florida (ME63238) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619934379

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameGREGORY PAUL STAVISKICredential: M.D.

Location Address151 MARY ESTHER BLVD, SUITE 303Mary Esther, FL 32569-1972

Mailing AddressPo Box 699Gulf Breeze, FL 32562-0699 · (850) 243-7788 · Fax (850) 243-7738

Phone(850) 243-7788

Fax(850) 243-7738

Sole ProprietorNo

Enumeration DateApril 27, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1619934379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in FL · ME63238

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

151 MARY ESTHER BLVD, Mary Esther, FL 32569

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Other Identifiers 2

Other7290008FL · Aetna

Other44880FL · Blue Cross Blue Shield

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gregory Paul Staviski M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

NIGHTINGALE HEALTH CARE LLC

Nurse Practitioner

151 MARY ESTHER BLVD, SUITE 408
MARY ESTHER, FL 32569

Okaloosa County (850) 533-6244

MRS. MARTHA LAWSON VAN DAM M.S., NCC

Counselor (Mental Health)

151 MARY ESTHER BLVD, SUITE 507
MARY ESTHER, FL 32569

Okaloosa County (850) 226-7419

JOHN PAUL BURKS LMT

Massage Therapist

151 MARY ESTHER BLVD, STE 307A
MARY ESTHER, FL 32569

Okaloosa County (850) 200-7178

CAROLYN N. KETCHEL, P.A.

Social Worker (Clinical)

151 MARY ESTHER BLVD, SUITE 302
MARY ESTHER, FL 32569

Okaloosa County (850) 243-1302

LAMVIEN QUOC NGUYEN M.D.

Specialist

151 MARY ESTHER BLVD, SUITE 303
MARY ESTHER, FL 32569

Okaloosa County (850) 243-7788

STEPPING STONES PROFESSIONAL COUNSELING, INC.

Counselor (Mental Health)

151 MARY ESTHER BLVD, SUITE 310-A
MARY ESTHER, FL 32569

Okaloosa County (850) 226-6430

JOSEPH P. SKELLY M.S., L.M.H.C.

Counselor (Mental Health)

151 MARY ESTHER BLVD, SUITE 201
MARY ESTHER, FL 32569

Okaloosa County (850) 862-6030

BEVERLY DAWN BURKS LMT

Massage Therapist

151 MARY ESTHER BLVD, STE 307A
MARY ESTHER, FL 32569

Okaloosa County (850) 200-7039

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 Gregory Staviski's NPI number?

The NPI number for Gregory Staviski is 1619934379. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Gregory Staviski located?

Gregory Staviski practices at 151 Mary Esther Blvd Suite 303, Mary Esther, FL 32569. The listed phone number is (850) 243-7788.

What is Gregory Staviski's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Gregory Staviski enrolled in Medicare?

Yes. Gregory Staviski is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gregory Staviski was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 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.