SAMUEL D. CRITIDES, JR., M.D., P.A.
NPI 1932887676
Neurological Surgery in Fort Walton Beach, FL

Active since July 11, 2023
350G RACETRACK RD NW, FORT WALTON BEACH, FL 32547(850) 374-3125(850) 226-5544 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 1, 2026, Mar 20, 2025, Oct 6, 2023 and 1 more (4 updates tracked since 2023).

About Samuel D. Critides, Jr., M.d., P.a. NPPES

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

SAMUEL D. CRITIDES, JR., M.D., P.A. (NPI 1932887676), doing business as Homeport Neurosurgery And Spine, is a healthcare organization registered as a neurological surgery in Fort Walton Beach, Florida and active in the NPI registry since July 2023. The organization lists Samuel D Critides, Owner/ P, S, as its authorized official.

NPPES Registry Identity

NPI1932887676
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NameSAMUEL D. CRITIDES, JR., M.D., P.A.
Location Address350G RACETRACK RD NWFort Walton Beach, FL 32547-1699
Mailing Address350g Racetrack Rd NwFort Walton Beach, FL 32547-1699 · (850) 374-3125 · Fax (850) 226-5544
Fax(850) 226-5544
Organization SubpartNo
Authorized OfficialSamuel D CritidesOwner/ P, S · (850) 374-3125
Enumeration DateJuly 11, 2023
Last NPPES UpdateApril 1, 20264 updates tracked since enumeration
NPPES CertifiedApril 1, 2026
✔ NPI 1932887676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
350G RACETRACK RD NW, Fort Walton Beach, FL 32547

Other Names 1

Doing Business AsHomeport Neurosurgery And Spine

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)

Samuel D. Critides, Jr., M.d., P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Samuel D. Critides, Jr., M.D., P.A., which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Neurosurgery
NPI 1902856503
350G RACETRACK RD NW
Fort Walton Beach, FL 32547
(850) 374-3125
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1245103134
350G RACETRACK RD NW
Fort Walton Beach, FL 32547
(978) 771-1719
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1134855257
350G RACETRACK RD NW
Fort Walton Beach, FL 32547
(850) 374-3125
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1598515355
350G RACETRACK RD NW
Fort Walton Beach, FL 32547
(850) 374-3125
✔ PECOSSame address
Neurosurgery
NPI 1477814648
1150 E SHERMAN BLVD STE 2400
Muskegon, MI 49444
(231) 672-4243
✔ PECOS✔ Accepts Medicare880 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 Samuel D. Critides, Jr., M.D., P.A.'s NPI number?

The NPI number for Samuel D. Critides, Jr., M.D., P.A. is 1932887676. It was assigned to this organization in the NPPES registry on July 11, 2023. The provider is doing business as Homeport Neurosurgery And Spine.

Where is Samuel D. Critides, Jr., M.D., P.A. located?

Samuel D. Critides, Jr., M.D., P.A. is located at 350G Racetrack Rd NW, Fort Walton Beach, FL 32547. The listed phone number is (850) 374-3125.

What is Samuel D. Critides, Jr., M.D., P.A.'s specialty?

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

Is Samuel D. Critides, Jr., M.D., P.A. enrolled in Medicare?

Yes. Samuel D. Critides, Jr., M.D., P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Samuel D. Critides, Jr., M.D., P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Samuel D. Critides, Jr., M.D., 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 (3) and Neurosurgery (2). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Samuel D. Critides, Jr., M.D., P.A. accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Wellpoint list Samuel D. Critides, Jr., M.D., 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 Samuel D. Critides, Jr., M.D., P.A. was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.