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GATEWAY MEDICAL CLINIC DEFUNIAK
NPI 1902854425
Family Medicine in Defuniak Springs, FL

Active since May 05, 2006
650 US HIGHWAY 331 S, STE. 4, DEFUNIAK SPRINGS, FL 32435(850) 892-3366 Get Directions Write a Review

NPPES record last updated: March 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gateway Medical Clinic Defuniak NPPES

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

GATEWAY MEDICAL CLINIC DEFUNIAK (NPI 1902854425) is a healthcare organization registered as a family medicine in Defuniak Springs, Florida and active in the NPI registry since May 2006. The organization lists Jennifer L Jackson, Sr Dir Onboarding & Prov Enrollment, as its authorized official.

NPPES Registry Identity

NPI1902854425
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCRESTVIEW HOSPITAL CORPORATION
Location Address650 US HIGHWAY 331 S, STE. 4Defuniak Springs, FL 32435-3349
Mailing Address7100 Commerce Way, Ste. 180Brentwood, TN 37027-2829 · (615) 465-7626
Phone(850) 892-3366
Organization SubpartYes
Authorized OfficialJennifer L JacksonSr Dir Onboarding & Prov Enrollment · (615) 465-3334
Enumeration DateMay 5, 2006
Last NPPES UpdateMarch 18, 2022
NPPES CertifiedFebruary 14, 2022
✔ NPI 1902854425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 ListedInternal MedicineTaxonomy 207R00000X
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
650 US HIGHWAY 331 S, Defuniak Springs, FL 32435
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Other Names 1

Doing Business AsGateway Medical Clinic Defuniak

Other Identifiers 2

Medicaid660058101FL
Other40043AFL · Bcbs Of Fl

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

Other Providers at the Same Location NPPES

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

NED WINSLOW FARBER D.O.
Family Medicine
650 US HIGHWAY 331 S, UNIT 4
DEFUNIAK SPGS, FL 32435
Walton County (850) 892-3366

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 Crestview Hospital Corporation's NPI number?

The NPI number for Crestview Hospital Corporation is 1902854425. It was assigned to this organization in the NPPES registry on May 5, 2006. The provider is doing business as Gateway Medical Clinic Defuniak.

Where is Crestview Hospital Corporation located?

Crestview Hospital Corporation is located at 650 Us Highway 331 S Ste. 4, Defuniak Springs, FL 32435. The listed phone number is (850) 892-3366.

What is Crestview Hospital Corporation'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 Crestview Hospital Corporation 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.