NPIMap

Organization Active NPI

WW Medical Center, PA

Doing business as White-Wilson Medical Center

  • Clinic/Center
  • Fort Walton Beach, FL
National Provider Identifier
1225981707
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
WW MEDICAL CENTER, PA
Doing business as
White-Wilson Medical Center
Practice address
1005 Mar Walt Dr
Fort Walton Beach, FL 32547-6707
Phone
(850) 863-8100
Fax
(850) 863-4152
NPI assigned
Feb 16, 2026
Last updated
Mar 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Authorized official

Name
John Christofer Dali, MDNPI 1023083177
Title
President
Phone
(850) 863-8269

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1005 Mar Walt Dr
Fort Walton Beach, FL 32547-6707

Mailing address

1005 Mar Walt Dr
Fort Walton Beach, FL 32547-6707
Phone (850) 863-8100

Other names 1

  • White-Wilson Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260422002016 FL Part B Supplier - Clinic/Group Practice 0042787517 Receives reassigned benefits from 55 practitioners
Practice locations: Niceville, FL; Navarre, FL; Crestview, FL; Miramar Beach, FL; Fort Walton Beach, FL; Defuniak Springs, FL; Destin, FL

National Provider Directory

National Provider Directory

Locations

127 E Redstone Ave
Crestview, FL 32539
Phone (850) 398-8725

1110 Hospital Rd
Fort Walton Beach, FL 32547
Phone (850) 863-8235

2001 E Highway 20
Niceville, FL 32578
Phone (850) 897-4400

Practitioners & affiliated clinicians

Practitioners 59

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 59

NPI Registry JSON

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

{
    "created_epoch": "1771200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1225981707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 MAR WALT DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476707",
            "telephone_number": "850-863-8100",
            "fax_number": "850-863-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 MAR WALT DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476707",
            "telephone_number": "850-863-8100",
            "fax_number": "850-863-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WW MEDICAL CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-16",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "DALI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CHRISTOFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-863-8269",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White-Wilson Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.