EMERALD COAST MEMORY CLINIC, LLC
NPI 1962911651
Psychiatry & Neurology - Psychiatry in Miramar Beach, FL
About Emerald Coast Memory Clinic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EMERALD COAST MEMORY CLINIC, LLC (NPI 1962911651) is a healthcare organization registered as a psychiatry in Miramar Beach, Florida and active in the NPI registry since September 2017. The organization lists Farid Chekaoui, Mgrm, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Emerald Coast Memory Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Emerald Coast Memory Clinic, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (13)
Chattahoochee, FL 32324
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 Emerald Coast Memory Clinic, LLC's NPI number?
The NPI number for Emerald Coast Memory Clinic, LLC is 1962911651. It was assigned to this organization in the NPPES registry on September 25, 2017.
Where is Emerald Coast Memory Clinic, LLC located?
Emerald Coast Memory Clinic, LLC is located at 755 Grand Blvd Ste 105b278, Miramar Beach, FL 32550. The listed phone number is (850) 737-1816.
What is Emerald Coast Memory Clinic, LLC's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Emerald Coast Memory Clinic, LLC enrolled in Medicare?
Yes. Emerald Coast Memory Clinic, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Emerald Coast Memory Clinic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 2 Medicare specialties reassign their Medicare billing to Emerald Coast Memory Clinic, 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 (12) and Psychiatry (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Emerald Coast Memory Clinic, LLC was last updated on September 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Emerald Coast Memory Clinic, Llc · NPI 1962911651
Psychiatry organization in Miramar Beach, Florida. Organization record, active in the CMS NPPES registry since September 25, 2017.
## Identity
- **NPI:** 1962911651 (Entity type: Organization)
- **Enumerated:** September 25, 2017
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **Organization subpart:** No
- **Authorized official:** Farid Chekaoui, MGRM
## Practice location
- **Address:** 755 GRAND BLVD STE 105B278, Miramar Beach, FL 32550-1838
- **Phone:** (850) 737-1816
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (12), Psychiatry (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 25, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1962911651) · Data from the CMS NPPES public registry.