Active NPI
John David Sites, M.D.
- Family Medicine Physician
- Fort Walton Beach, FL
National Provider Identifier
1043322159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME-0041925
- Practice address
- 137 Hospital Dr NE
Fort Walton Beach, FL 32548-5063 - Phone
- (850) 226-8857
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME-0041925 | FL | Primary |
Addresses
Primary practice location
137 Hospital Dr NE
Fort Walton Beach, FL 32548-5063
Mailing address
137 Hospital Dr NE
Fort Walton Beach, FL 32548-5063
Phone (850) 226-8857
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127973600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Indiana University School of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
137 Hospital Dr NE
Fort Walton Beach, FL 32548-5063
Phone (850) 833-7500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME-0041925 | FL | MD | Family Medicine Physician |
| 41925 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgeway Center Inc | Current | Accepting new patients | |
| Magnolia Medical Clinic P.a. | Family Medicine | Current | Accepting new patients |
Locations
137 Hospital Dr NE
Ft Walton Bch, FL 32548
Phone (850) 226-8857
319 Green Acres Rd
#101
Ft Walton Bch, FL 32547
Phone (850) 243-7681
Interoperability endpoints
- john.sites@mmcfp.directbygreenway.com
- john.sites.1@15074.direct.athenahealth.com
- john.sites.1@19478.direct.athenahealth.com
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.60552
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Fort Walton Beach, FL
- NPI 1578677076
-
- Family Medicine Physician
- Destin, FL
- NPI 1053110619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760054400000",
"number": "1043322159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 HOSPITAL DR NE",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325485063",
"telephone_number": "850-226-8857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 HOSPITAL DR NE",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325485063",
"telephone_number": "850-226-8857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SITES",
"first_name": "JOHN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2025-10-10",
"certification_date": "2025-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME-0041925",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "127973600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Walton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.