NORTHWEST FLORIDA MULTISPECIALTY PHYSICIANS LLC
NPI 1790912269
Neurological Surgery in Fort Walton Beach, FL

Active since June 11, 2009
1032 MAR WALT DR, SUITE 250, FORT WALTON BEACH, FL 32547(850) 863-3463 Get Directions Write a Review

NPPES record last updated: November 10, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Northwest Florida Multispecialty Physicians Llc NPPES

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

NORTHWEST FLORIDA MULTISPECIALTY PHYSICIANS LLC (NPI 1790912269) is a healthcare organization registered as a neurological surgery in Fort Walton Beach, Florida and active in the NPI registry since June 2009. The organization lists John Mark Rodkey, Vice President, as its authorized official.

NPPES Registry Identity

NPI1790912269
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NameNORTHWEST FLORIDA MULTISPECIALTY PHYSICIANS LLC
Location Address1032 MAR WALT DR, SUITE 250Fort Walton Beach, FL 32547-6661
Mailing Address2000 Health Park DrBrentwood, TN 37027-4525 · (615) 372-5426 · Fax (866) 831-4898
Organization SubpartNo
Authorized OfficialJohn Mark RodkeyVice President · (850) 523-3816
Enumeration DateJune 11, 2009
Last NPPES UpdateNovember 10, 2017
✔ NPI 1790912269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
1032 MAR WALT DR, Fort Walton Beach, FL 32547

Other Identifiers 1

Medicare PINCF609AFL

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northwest Florida Multispecialty Physicians Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

18

Medicare enrollment records show 18 clinicians reassign Medicare billing to Northwest Florida Multispecialty Physicians LLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 13 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 7

Nurse Practitioner7
General Surgery3
Urology3
Cardiac Surgery2
Interventional Cardiology1
Otolaryngology1
Thoracic Surgery1

Clinicians, nearest first (18)

Nurse Practitioner
NPI 1316651250
1032 MAR WALT DR UNIT 230
Fort Walton Beach, FL 32547
(850) 862-3194
✔ PECOS✔ Accepts MedicareSame address
Thoracic Surgery
NPI 1174519441
1032 MAR WALT DR SUITE 230
Fort Walton Beach, FL 32547
(850) 862-3194
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1073042115
1032 MAR WALT DR UNIT 220
Fort Walton Beach, FL 32547
(850) 374-9610
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1104678283
1032 MAR WALT DR UNIT 230
Fort Walton Beach, FL 32547
(850) 862-3194
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1881186096
1032 MAR WALT DR UNIT 230
Ft Walton Bch, FL 32547
(850) 862-3194
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1922965961
1032 MAR WALT DR UNIT 230
Fort Walton Beach, FL 32547
(850) 862-3194
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1336594050
320 RACETRACK RD NW STE 100B
Fort Walton Beach, FL 32547
(850) 374-9610
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1336635549
320 RACETRACK RD NW STE 100C
Fort Walton Beach, FL 32547
(850) 863-0883
✔ PECOS✔ Accepts Medicare0.5 mi
Interventional Cardiology
NPI 1679923254
320 RACETRACK RD NW STE 100D
Fort Walton Beach, FL 32547
(448) 202-6100
✔ PECOS✔ Accepts Medicare0.5 mi
Otolaryngology
NPI 1194374843
320 RACETRACK RD NW STE 100A
Fort Walton Beach, FL 32547
(850) 374-9900
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1225859267
320 RACETRACK RD NW STE 100D
Fort Walton Beach, FL 32547
(448) 202-6100
✔ PECOS✔ Accepts Medicare0.5 mi
General Surgery
NPI 1700087251
1703 LEWIS TURNER BLVD
Fort Walton Beach, FL 32547
(850) 864-4033
✔ PECOS✔ Accepts Medicare0.6 mi
Urology
NPI 1427439165
307 BOATNER RD STE 114
Eglin Afb, FL 32542
(850) 883-8346
✔ PECOS✔ Accepts Medicare5.0 mi
Urology
NPI 1821030925
740 HARRISON AVE
Panama City, FL 32401
(850) 818-0021
✔ PECOS✔ Accepts Medicare62 mi
Cardiac Surgery
NPI 1447234364
1121 NW 64TH TER SUITE B
Gainesville, FL 32605
(352) 331-3583
✔ PECOS✔ Accepts Medicare259 mi
Nurse Practitioner
NPI 1750100855
5730 GLENRIDGE DR STE T200
Sandy Springs, GA 30328
(404) 256-5428
✔ PECOS✔ Accepts Medicare273 mi
Cardiac Surgery
NPI 1013304559
720 W OAK ST STE 360
Kissimmee, FL 34741
(407) 846-0090
✔ PECOS✔ Accepts Medicare348 mi
Urology
NPI 1679764534
1101 SAINT CHRISTOPHER DR
Ashland, KY 41101
(606) 833-3333
✔ PECOS✔ Accepts Medicare599 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Northwest Florida Multispecialty Physicians LLC's NPI number?

The NPI number for Northwest Florida Multispecialty Physicians LLC is 1790912269. It was assigned to this organization in the NPPES registry on June 11, 2009.

Where is Northwest Florida Multispecialty Physicians LLC located?

Northwest Florida Multispecialty Physicians LLC is located at 1032 Mar Walt Dr Suite 250, Fort Walton Beach, FL 32547. The listed phone number is (850) 863-3463.

What is Northwest Florida Multispecialty Physicians LLC's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Northwest Florida Multispecialty Physicians LLC enrolled in Medicare?

Yes. Northwest Florida Multispecialty Physicians LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northwest Florida Multispecialty Physicians LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 7 Medicare specialties reassign their Medicare billing to Northwest Florida Multispecialty Physicians LLC. 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 (7), General Surgery (3) and Urology (3). Of these, 6 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Northwest Florida Multispecialty Physicians LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 1 other insurer list Northwest Florida Multispecialty Physicians LLC 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 Northwest Florida Multispecialty Physicians LLC was last updated on November 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.