Emerald Coast Direct Primary Care LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

EMERALD COAST DIRECT PRIMARY CARE LLC

Practice address

8764 Ortega Park Dr
Navarre, FL 32566-4139

Phone

(850) 407-3646

NPI assigned

Sep 6, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christopher Durant, DO

Title

Medical Director

Phone

(850) 407-3646

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• George Edward Marcus III, PA

  • Physician Assistant
  • Navarre, FL
  • NPI 1558642934
  NPD
• Joseph Bardinelli

  • Emergency Medicine Physician
  • NPI 1174978373
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1154099943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8764 ORTEGA PARK DR",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325664139",
            "telephone_number": "850-407-3646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8764 ORTEGA PARK DR",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325664139",
            "telephone_number": "850-407-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD COAST DIRECT PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-06",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "DURANT",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "850-407-3646",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Gibson Ellington, MD
• Elliott a Sharon MD PA
• Nicole Ellis, M.A.
• Trinity Noel Ellis, MS
• Robert James Elsas, DC
• Emerald Coast Healing Center, LLC
• Emerald Coast Home Living LLC
• Emerald Coast Psychotherapy LLC
• Emerald Eagle Healing Collective
• Emerald Waters Primary Care P.L.L.C.

• Primary Care Clinic/Center in Navarre, FL
• Providers in Navarre, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.