Organization Active NPI

Quality Primary Care PLLC

Doing business as Quality Primary Care

  • Internal Medicine Physician
  • Fort Walton Beach, FL
National Provider Identifier
1386042703
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
QUALITY PRIMARY CARE PLLC
Doing business as
Quality Primary Care
Practice address
434 Mary Esther Cut Off NW
Fort Walton Beach, FL 32548-4023
Phone
(850) 466-3399
Fax
(850) 226-6712
NPI assigned
Dec 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Authorized official

Name
Dr. Narendra Kumar Gowda, M.D.NPI 1740232214
Title
Medical Director
Phone
(850) 466-3399

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X FL Primary

Addresses

Primary practice location

434 Mary Esther Cut Off NW
Fort Walton Beach, FL 32548-4023

Mailing address

434 Mary Esther Cut Off NW
Fort Walton Beach, FL 32548-4023
Phone (850) 466-3399

Other identifiers 3

IdentifierTypeStateIssuer
009911303MedicaidAL
112213500MedicaidFL
265037100MedicaidFL

Other names 1

  • Quality Primary Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150824000131 FL Part B Supplier - Clinic/Group Practice 2365757119 Receives reassigned benefits from 2 practitioners
Practice locations: Fort Walton Beach, FL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2102846Quality Primary Care434 Mary Esther Cutoff NW, Fort Walton Beach, FL 32548Certificate of waiverSep 29, 2027

National Provider Directory

National Provider Directory

Locations

434 Mary Esther Cut Off NW
Fort Walton Beach, FL 32548
Phone (850) 466-3399

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1386042703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 MARY ESTHER CUT OFF NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484023",
            "telephone_number": "850-466-3399",
            "fax_number": "850-226-6712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 MARY ESTHER CUT OFF NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484023",
            "telephone_number": "850-466-3399",
            "fax_number": "850-226-6712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-17",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "GOWDA",
        "authorized_official_first_name": "NARENDRA",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "850-466-3399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009911303",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112213500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265037100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quality Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Quality Primary Care",
            "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 Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.