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CRESTVIEW PRIMARY CARE
NPI 1881363182
Family Medicine in Crestview, FL

Active since September 09, 2021
524 W JAMES LEE BLVD, CRESTVIEW, FL 32536(850) 398-8725 Get Directions Write a Review

NPPES record last updated: March 18, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Crestview Primary Care NPPES

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

CRESTVIEW PRIMARY CARE (NPI 1881363182) is a healthcare organization registered as a family medicine in Crestview, Florida and active in the NPI registry since September 2021. The organization lists Jennifer L Jackson, Sr Dir Prov Enrollment & Onboarding, as its authorized official.

NPPES Registry Identity

NPI1881363182
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNORTH OKALOOSA CLINIC CORP
Location Address524 W JAMES LEE BLVDCrestview, FL 32536-5129
Mailing AddressPo Box 689022Franklin, TN 37068-9022 · (615) 465-7211 · Fax (615) 628-6877
Phone(850) 398-8725
Organization SubpartNo
Authorized OfficialJennifer L JacksonSr Dir Prov Enrollment & Onboarding · (615) 465-3334
Enumeration DateSeptember 9, 2021
Last NPPES UpdateMarch 18, 2022
NPPES CertifiedMarch 18, 2022
✔ NPI 1881363182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
524 W JAMES LEE BLVD, Crestview, FL 32536
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Other Names 1

Doing Business AsCrestview Primary Care

Other Identifiers 1

MedicaidPENDINGFL

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

MICHAEL GILLIAN FOLEY M.D.
Internal Medicine
524 W JAMES LEE BLVD
CRESTVIEW, FL 32536
Okaloosa County (850) 682-6143
JAMES L WILLIS DO PA
Family Medicine
524 W JAMES LEE BLVD
CRESTVIEW, FL 32536
Okaloosa County (850) 682-6143

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 North Okaloosa Clinic Corp's NPI number?

The NPI number for North Okaloosa Clinic Corp is 1881363182. It was assigned to this organization in the NPPES registry on September 9, 2021. The provider is doing business as Crestview Primary Care.

Where is North Okaloosa Clinic Corp located?

North Okaloosa Clinic Corp is located at 524 W James Lee Blvd, Crestview, FL 32536. The listed phone number is (850) 398-8725.

What is North Okaloosa Clinic Corp's specialty?

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

When was this NPI record last updated?

The NPPES record for North Okaloosa Clinic Corp was last updated on March 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.