Active NPI
Emerald Coast Endoscopy Center LLC
- Ambulatory Surgical Clinic/Center
- Santa Rosa Beach, FL
National Provider Identifier
1356286702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- EMERALD COAST ENDOSCOPY CENTER LLC
- Practice address
- 200 Mack Bayou Rd
Santa Rosa Beach, FL 32459-3101 - Phone
- (469) 872-4706
- NPI assigned
- Apr 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Collin Lemaistre
- Title
- Officer/Authorized Official
- Phone
- (214) 213-0732
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
200 Mack Bayou Rd
Santa Rosa Beach, FL 32459-3101
Mailing address
200 Mack Bayou Rd
Santa Rosa Beach, FL 32459-3101
National Provider Directory
National Provider DirectoryLocations
200 Mack Bayou Rd
Santa Rosa Beach, FL 32459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776816000000",
"number": "1356286702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MACK BAYOU RD",
"city": "SANTA ROSA BEACH",
"state": "FL",
"postal_code": "324593101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MACK BAYOU RD",
"city": "SANTA ROSA BEACH",
"state": "FL",
"postal_code": "324593101",
"telephone_number": "469-872-4706"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMERALD COAST ENDOSCOPY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-22",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A",
"authorized_official_last_name": "LEMAISTRE",
"authorized_official_first_name": "COLLIN",
"authorized_official_title_or_position": "OFFICER/AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "214-213-0732"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa Beach, FL
- Walter John Edwardson
- Elevate Health and Wellness, LLC
- Joan Ellison, PHARMD
- Emerald Coast Compounding Pharmacy
- Emerald Coast Durable Medical Equipment, LLC
- Emerald Coast Medical Supplies LLC
- Emerald Coast Medical Supplies LLC
- Emerald Coast Therapeutics PLLC
- Emerald ENT Allergy Hearing and Facial Plastics LLC
- Emerging Vision Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.