Individual provider Active NPI

William Craig Dungan, MD

  • Gastroenterology Physician
  • Fort Walton Beach, FL
National Provider Identifier
1306460910
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME180230 Issued in FL
Practice address
1013 Mar Walt Dr Ste B
Fort Walton Beach, FL 32547-6789
Phone
(904) 398-7205
NPI assigned
May 31, 2020
Last updated
Jun 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD.46568 AL
Internal Medicine Physician 207R00000X LL84240 SC
Gastroenterology Physician 207RG0100X ME180230 FL Primary

Addresses

Primary practice location

1013 Mar Walt Dr Ste B
Fort Walton Beach, FL 32547-6789

Mailing address

4800 Belfort Rd
2ND/3Rd Floor
Jacksonville, FL 32256-6004
Phone (904) 398-7205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250731001708 AL Practitioner - Hospitalist 9436578598 Reassigns benefits to 1 organization
I20260520004369 FL Practitioner - Gastroenterology 9436578598

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Mississippi School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Borland Groover Clinic, PAGroup PAC ID 6507761301, 128 clinicians
USA Health Community Providers LLCGroup PAC ID 2062875479, 97 clinicians

Practice addresses (Care Compare)

23 Mack Bayou Loop
Santa Rosa Beach, FL 32459-2606
Phone (850) 390-4540

2451 University Hospital Dr
Mobile, AL 36617-2300
Phone (251) 471-7000

6801 Airport Blvd
Mobile, AL 36608-3709
Phone (251) 266-3580

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.46568ALMDInternal Medicine Physician
ME180230FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
USA Health Community Providers LLC Internal Medicine CurrentSince Jun 11, 2025 Accepting new patients
Borland Groover Clinic, PA Gastroenterology CurrentSince Jul 6, 2026 Accepting new patients
University of South Alabama Mitchell Cancer Institute Past Accepting new patients
Jax Anesthesia Providers LLC PastSince Jun 12, 2006 Accepting new patients

Locations

2451 University Hospital Dr
#102
Mobile, AL 36617
Phone (251) 470-5890

6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580

75 S University Blvd
Mobile, AL 36608
Phone (251) 471-7870

4800 Belfort Rd
Fl 3
Jacksonville, FL 32256
Phone (904) 265-6478

23 Mack Bayou Loop
Santa Rosa Beach, FL 32459
Phone (850) 390-4540

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1590883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1306460910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 BELFORT RD",
            "address_2": "2ND/3RD FLOOR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566004",
            "telephone_number": "904-398-7205",
            "fax_number": "904-396-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 MAR WALT DR STE B",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476789",
            "telephone_number": "904-398-7205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNGAN",
        "first_name": "WILLIAM",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-31",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "MD.46568",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "LL84240",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME180230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

Verify at the official NPI Registry.