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SOUTH WALTON MEDICAL CENTER INC
NPI 1659541340
Clinic/Center in Destin, FL

Active since March 10, 2008CLIA 10D1102027 · Waiver
10005C US HIGHWAY 98 W, DESTIN, FL 32550(850) 837-8005(850) 837-4352 Get Directions Write a Review

NPPES record last updated: February 3, 2009. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About South Walton Medical Center Inc NPPES

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

SOUTH WALTON MEDICAL CENTER INC (NPI 1659541340) is a healthcare organization registered as a clinic/center in Destin, Florida and active in the NPI registry since March 2008. The organization holds a CLIA Waiver certificate valid through July 8, 2027 and lists Ronald Bruce Causton, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1659541340
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSOUTH WALTON MEDICAL CENTER INC
Location Address10005C US HIGHWAY 98 WDestin, FL 32550-4962
Mailing Address10005c Us Highway 98 WDestin, FL 32550-4962 · (850) 837-8005 · Fax (850) 837-4352
Phone(850) 837-8005
Fax(850) 837-4352
Organization SubpartNo
Authorized OfficialRonald Bruce CaustonOwner/physician · (850) 837-8005
Enumeration DateMarch 10, 2008
Last NPPES UpdateFebruary 3, 2009
✔ NPI 1659541340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in FL · FLME43330
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).
10005C US HIGHWAY 98 W, Destin, FL 32550
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Other Identifiers 3

Medicare UPIN46168AFL
Other46168FL · Bc Bs
Medicaid265468700FL

CLIA Laboratory Certificates CMS CLIA

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 10D1102027

South Walton Medical Group · Navarre, FL
Active · expires Jul 8, 2027
CLIA Number10D1102027
Laboratory TypePhysician Office
Certificate Effective DateJuly 9, 2025
Certificate Expiration DateJuly 8, 2027
Laboratory DirectorTerrance R. Reeves
Laboratory Phone(850) 837-8005
Laboratory LocationSouth Walton Medical Group7552 Navarre Parkway Unit #21, Navarre, FL 32566
CLIA data matches this NPI record on: 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 South Walton Medical Center Inc's NPI number?

The NPI number for South Walton Medical Center Inc is 1659541340. It was assigned to this organization in the NPPES registry on March 10, 2008.

Where is South Walton Medical Center Inc located?

South Walton Medical Center Inc is located at 10005C Us Highway 98 W, Destin, FL 32550. The listed phone number is (850) 837-8005.

What is South Walton Medical Center Inc's specialty?

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

Does South Walton Medical Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1102027) is associated with this NPI, valid through July 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for South Walton Medical Center Inc was last updated on February 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.