EMERALD COAST INFECTIOUS DISEASES MEDICAL GROUP, P.A.
NPI 1720017882
Internal Medicine - Infectious Disease in Fort Walton Beach, FL

Active since July 01, 2006CLIA 10D2341356 · Waiver
917 MAR WALT DR, FORT WALTON BEACH, FL 32547(850) 862-3979 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 5, 2026, Jan 27, 2026, Feb 27, 2025 (3 updates tracked since 2025).

About Emerald Coast Infectious Diseases Medical Group, P.a. NPPES

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

EMERALD COAST INFECTIOUS DISEASES MEDICAL GROUP, P.A. (NPI 1720017882), doing business as American Medical Group, is a healthcare organization registered as an infectious disease in Fort Walton Beach, Florida and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through March 31, 2028, maintains 8 additional practice locations, and lists Eric Squatrito, Ceo, as its authorized official.

NPPES Registry Identity

NPI1720017882
Entity TypeOrganization
Primary Taxonomy207RI0200X
Legal Business NameEMERALD COAST INFECTIOUS DISEASES MEDICAL GROUP, P.A.
Location Address917 MAR WALT DRFort Walton Beach, FL 32547-6651
Mailing Address917 Mar Walt DrFort Walton Beach, FL 32547-6651 · (850) 862-3979 · Fax (850) 862-0605
Organization SubpartNo
Authorized OfficialEric SquatritoCeo · (850) 786-2270
Enumeration DateJuly 1, 2006
Last NPPES UpdateMarch 5, 20263 updates tracked since enumeration
NPPES CertifiedMarch 5, 2026
✔ NPI 1720017882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal Medicine · Allergy & ImmunologyTaxonomy 207RA0201X
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X
Also ListedNurse PractitionerTaxonomy 363L00000X
917 MAR WALT DR, Fort Walton Beach, FL 32547

Other Names 2

Doing Business AsAmerican Medical Group
Doing Business AsBay, Foot, And Ankle Center

Secondary Practice Locations 8

Location 11921 E Nine Mile RdPensacola, FL 32514-7747 · Phone (850) 999-5837 · Fax (850) 862-0605
Location 21326 Lewis Turner BlvdFort Walton Beach, FL 32547-1139 · Phone (850) 855-4048 · Fax (850) 855-4068
Location 3417 Racetrack Rd NWFort Walton Beach, FL 32547-4612 · Phone (850) 862-3979 · Fax (850) 862-0605
Location 4137 Crystal Beach Dr Ste 121Destin, FL 32541-3573 · Phone (850) 807-4388 · Fax (850) 862-0605
Location 51710 Lisenby AvePanama City, FL 32405-3730 · Phone (850) 807-4420 · Fax (850) 862-0605
Location 61025 Beal Pkwy N Ste CFort Walton Beach, FL 32547-1481 · Phone (850) 374-3806 · Fax (850) 862-0605
Location 71025 Beal Pkwy N Ste AFort Walton Beach, FL 32547-1481 · Phone (850) 374-8220 · Fax (850) 862-0605
Location 8351 N Ferdon BlvdCrestview, FL 32536-2727 · Phone (850) 862-3979 · Fax (850) 862-0605

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emerald Coast Infectious Diseases Medical Group, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20170724001257DME · Physician - Infectious DiseaseDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

39

Medicare enrollment records show 39 clinicians reassign Medicare billing to Emerald Coast Infectious Diseases Medical Group, P.A., which bills Medicare for the services they deliver. Of these, 5 practice at this address and 24 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Nurse Practitioner11
Infectious Disease8
Podiatry5
Gastroenterology4
Internal Medicine3
Critical Care (Intensivists)2
Pulmonary Disease2
Rheumatology2
2 other specialties2

Nearest to this location (20)

See all 39
Infectious Disease
NPI 1639622665
917 MAR WALT DR
Fort Walton Beach, FL 32547
(850) 862-3979
✔ PECOS✔ Accepts MedicareSame address
Infectious Disease
NPI 1932181583
917 MAR WALT DR
Fort Walton Beach, FL 32547
(850) 862-3979
✔ PECOS✔ Accepts MedicareSame address
Infectious Disease
NPI 1194347963
917 MAR WALT DR
Fort Walton Beach, FL 32547
(850) 862-3979
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1598731770
917 MAR WALT DR
Fort Walton Beach, FL 32547
(850) 862-3979
✔ PECOSSame address
Nurse Practitioner
NPI 1548904360
917 MAR WALT DR
Fort Walton Beach, FL 32547
(850) 978-2909
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1972341931
320 RACETRACK RD NW STE 100B
Fort Walton Beach, FL 32547
(850) 357-8151
✔ PECOS✔ Accepts Medicare0.2 mi
Gastroenterology
NPI 1760505341
417 RACETRACK RD NW
Fort Walton Beach, FL 32547
(850) 601-8177
✔ PECOS✔ Accepts Medicare0.2 mi
Gastroenterology
NPI 1457442741
417A RACETRACK RD NW SUITE 2
Fort Walton Beach, FL 32547
(850) 863-5990
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1013434570
1000 MAR WALT DR
Fort Walton Beach, FL 32547
(850) 863-8100
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1548801897
1000 MAR WALT DRIVE
Fort Walton Beach, FL 32547
(850) 243-0118
✔ PECOS✔ Accepts Medicare0.2 mi
Podiatry
NPI 1467687350
1034 MAR WALT DR SUITE 100
Fort Walton Beach, FL 32547
(850) 863-2153
✔ PECOS✔ Accepts Medicare0.2 mi
Pulmonary Disease
NPI 1346270592
1005 MAR WALT DRIVE PULMONOLOGY DEPARTMENT
Fort Walton Beach, FL 32547
(850) 243-0118
✔ PECOS✔ Accepts Medicare0.3 mi
Critical Care (Intensivists)
NPI 1235116054
1005 MAR WALT DRIVE PULMONOLOGY DEPARTMENT
Fort Walton Beach, FL 32547
(850) 243-0118
✔ PECOS✔ Accepts Medicare0.3 mi
Critical Care (Intensivists)
NPI 1740414465
1005 MAR WALT DRIVE PULMONOLOGY DEPARTMENT
Fort Walton Beach, FL 32547
(850) 243-0118
✔ PECOS✔ Accepts Medicare0.3 mi
Pulmonary Disease
NPI 1023006665
1005 MAR WALT DR
Fort Walton Beach, FL 32547
(850) 243-0118
✔ PECOS✔ Accepts Medicare0.3 mi
Neurology
NPI 1952307878
1106 HOSPITAL RD NEUROSCIENCE CENTER
Fort Walton Beach, FL 32547
(850) 863-8169
✔ PECOS✔ Accepts Medicare0.3 mi
Internal Medicine
NPI 1669963500
1025 BEAL PKWY N STE A
Fort Walton Beach, FL 32547
(850) 374-8220
✔ PECOS✔ Accepts Medicare0.4 mi
Gastroenterology
NPI 1790806248
1326 LEWIS TURNER BLVD
Fort Walton Beach, FL 32547
(850) 601-8177
✔ PECOS✔ Accepts Medicare0.5 mi
Podiatry
NPI 1093884033
1326 LEWIS TURNER BLVD
Fort Walton Beach, FL 32547
(850) 855-4048
✔ PECOS✔ Accepts Medicare0.5 mi
Podiatry
NPI 1801187307
1775 LEWIS TURNER BLVD STE 101
Fort Walton Beach, FL 32547
(850) 855-4048
✔ PECOS✔ Accepts Medicare0.7 mi
See all 39 clinicians

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

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 10D2341356

Emerald Coast Infectious Diseases Medical Group PA · Panama City, FL
Active · expires Mar 31, 2028
CLIA Number10D2341356
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2026
Certificate Expiration DateMarch 31, 2028
Laboratory DirectorScott E. Rojas
Laboratory Phone(850) 786-2270
Laboratory LocationEmerald Coast Infectious Diseases Medical Group PA1710 Lisenby Avenue, Panama City, FL 32405
CLIA data matches this NPI record on: Address 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 Emerald Coast Infectious Diseases Medical Group, P.A.'s NPI number?

The NPI number for Emerald Coast Infectious Diseases Medical Group, P.A. is 1720017882. It was assigned to this organization in the NPPES registry on July 1, 2006. The provider is doing business as American Medical Group and Bay, Foot, and Ankle Center.

Where is Emerald Coast Infectious Diseases Medical Group, P.A. located?

Emerald Coast Infectious Diseases Medical Group, P.A. is located at 917 Mar Walt Dr, Fort Walton Beach, FL 32547. The listed phone number is (850) 862-3979.

What is Emerald Coast Infectious Diseases Medical Group, P.A.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Emerald Coast Infectious Diseases Medical Group, P.A. enrolled in Medicare?

Yes. Emerald Coast Infectious Diseases Medical Group, P.A. is registered in the Medicare PECOS enrollment system.

When is Emerald Coast Infectious Diseases Medical Group, P.A.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Florida, Physician - Infectious Disease) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Emerald Coast Infectious Diseases Medical Group, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 39 clinicians in 10 Medicare specialties reassign their Medicare billing to Emerald Coast Infectious Diseases Medical Group, 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. The largest specialties are Nurse Practitioner (11), Infectious Disease (8) and Podiatry (5). Of these, 5 practice at this address and 24 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Emerald Coast Infectious Diseases Medical Group, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2341356) is associated with this NPI, valid through March 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Emerald Coast Infectious Diseases Medical Group, P.A. accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Emerald Coast Infectious Diseases Medical Group, 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 Emerald Coast Infectious Diseases Medical Group, P.A. was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.