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MAGNOLIA MEDICAL CLINIC P.A.
NPI 1639281652
Family Medicine in Fort Walton Beach, FL

Active since August 31, 2006
319 GREEN ACRES RD STE 101, FORT WALTON BEACH, FL 32547(850) 243-7681(850) 243-0471 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 10, 2025, Jul 15, 2024, Aug 28, 2018 (3 updates tracked since 2018).

About Magnolia Medical Clinic P.a. NPPES

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

MAGNOLIA MEDICAL CLINIC P.A. (NPI 1639281652) is a healthcare organization registered as a family medicine in Fort Walton Beach, Florida and active in the NPI registry since August 2006. The organization maintains 2 additional practice locations and lists Crystal Weatherington, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1639281652
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMAGNOLIA MEDICAL CLINIC P.A.
Location Address319 GREEN ACRES RD STE 101Fort Walton Beach, FL 32547
Mailing Address319 Green Acres Rd Ste 101Fort Walton Beach, FL 32547-1170 · (850) 243-7681 · Fax (850) 243-0471
Phone(850) 243-7681
Fax(850) 243-0471
Organization SubpartNo
Authorized OfficialCrystal WeatheringtonPractice Administrator · (850) 243-0520
Enumeration DateAugust 31, 2006
Last NPPES UpdateMarch 10, 20253 updates tracked since enumeration
NPPES CertifiedMarch 10, 2025
✔ NPI 1639281652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/CenterTaxonomy 261Q00000X
319 GREEN ACRES RD STE 101, Fort Walton Beach, FL 32547
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1131 Magnolia Ave SEFort Walton Beach, FL 32548-7266 · Phone (850) 243-7681 · Fax (850) 243-0471
Location 24012 Commons Dr WDestin, FL 32541-8422 · Phone (850) 243-7681 · Fax (850) 243-0520

Other Identifiers 2

Medicaid254841100FL
OtherCH5541FL · Rail Road

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 Florida Blue (BlueCross BlueShield FL).Insurance ›

Other Providers at the Same Location NPPES 10

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

DR. TERESA MARIE SKOJAC MD
Family Medicine
319 GREEN ACRES RD STE 101
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 243-7681
DR. PETER KERR SENECHAL M.D.
Family Medicine
319 GREEN ACRES RD STE 101
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 243-7681
DR. CHRISTOPHER PETER PAULSON M.D.
Family Medicine
319 GREEN ACRES RD STE 101
FORT WALTON BEACH, FL 32547
Okaloosa County (508) 243-7681
LINDSAY HERNDON MD
Family Medicine
319 GREEN ACRES RD STE 101
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 243-7681
LINDSEY ALAINA MANN-BADYRKA APRN
Nurse Practitioner (Family)
319 GREEN ACRES RD STE 101
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 243-7681
KRISTELLE HOPKINS
Nurse Practitioner (Family)
319 GREEN ACRES RD STE 101
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 243-7681
KEILAH MARIE BARTON DO
Family Medicine
319 GREEN ACRES RD STE 101
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 243-7681
DR. JOHN EDWARD LOUDERMILK MD
Family Medicine
319 GREEN ACRES RD STE 101
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 243-7681

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 Magnolia Medical Clinic P.A.'s NPI number?

The NPI number for Magnolia Medical Clinic P.A. is 1639281652. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is Magnolia Medical Clinic P.A. located?

Magnolia Medical Clinic P.A. is located at 319 Green Acres Rd Ste 101, Fort Walton Beach, FL 32547. The listed phone number is (850) 243-7681.

What is Magnolia Medical Clinic P.A.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Magnolia Medical Clinic P.A. accept?

Health plans from Florida Blue (BlueCross BlueShield FL) list Magnolia Medical Clinic 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 Magnolia Medical Clinic P.A. was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.