RURAL PRIMARY CARE SOUTH-WALTON, INC.
NPI 1912545955
Internal Medicine in Santa Rosa Beach, FL

Active since December 19, 2019
5551 US HIGHWAY 98, SUITE 2, SANTA ROSA BEACH, FL 32459(850) 420-5420(850) 244-8011 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 4, 2022, Dec 19, 2019 (2 updates tracked since 2019).

About Rural Primary Care South-walton, Inc. NPPES

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

RURAL PRIMARY CARE SOUTH-WALTON, INC. (NPI 1912545955) is a healthcare organization registered as an internal medicine in Santa Rosa Beach, Florida and active in the NPI registry since December 2019. The organization lists Amanda Patton, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1912545955
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameRURAL PRIMARY CARE SOUTH-WALTON, INC.
Location Address5551 US HIGHWAY 98, SUITE 2Santa Rosa Beach, FL 32459
Mailing Address5551 Us Highway 98, Suite 2Santa Rosa Beach, FL 32459 · (850) 420-5420 · Fax (850) 244-8011
Fax(850) 244-8011
Organization SubpartNo
Authorized OfficialAmanda PattonPractice Manager · (850) 420-5420
Enumeration DateDecember 19, 2019
Last NPPES UpdateFebruary 4, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2022
✔ NPI 1912545955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
5551 US HIGHWAY 98, Santa Rosa Beach, FL 32459

Other Identifiers 1

Medicaid110818301FL

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)

Rural Primary Care South-walton, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

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 IDO20210609002544Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Rural Primary Care South-Walton, Inc., which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1548872567
5551 US HIGHWAY 98
Santa Rosa Beach, FL 32459
(850) 420-5420
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1326639162
5551 US HIGHWAY 98
Santa Rosa Beach, FL 32459
(850) 420-5420
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1245200633
5551 US HIGHWAY 98
Santa Rosa Beach, FL 32459
(850) 420-5420
✔ PECOS✔ Accepts MedicareSame address

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 Rural Primary Care South-Walton, Inc.'s NPI number?

The NPI number for Rural Primary Care South-Walton, Inc. is 1912545955. It was assigned to this organization in the NPPES registry on December 19, 2019.

Where is Rural Primary Care South-Walton, Inc. located?

Rural Primary Care South-Walton, Inc. is located at 5551 Us Highway 98 Suite 2, Santa Rosa Beach, FL 32459. The listed phone number is (850) 420-5420.

What is Rural Primary Care South-Walton, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Rural Primary Care South-Walton, Inc. enrolled in Medicare?

Yes. Rural Primary Care South-Walton, Inc. is registered in the Medicare PECOS enrollment system.

When is Rural Primary Care South-Walton, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by October 31, 2026. 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 Rural Primary Care South-Walton, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Rural Primary Care South-Walton, Inc., in Internal Medicine and Nurse Practitioner. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Rural Primary Care South-Walton, Inc. accept?

Health plans from Wellpoint list Rural Primary Care South-Walton, Inc. 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 Rural Primary Care South-Walton, Inc. was last updated on February 4, 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.