Organization Active NPI

Doctors Medical Center of Walton County PA

  • Rural Health Clinic/Center
  • Defuniak Springs, FL
National Provider Identifier
1437271509
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
OS007047 Issued in FL
Legal business name
DOCTORS MEDICAL CENTER OF WALTON COUNTY PA
Practice address
21 W Main Ave
Defuniak Springs, FL 32435-2529
Phone
(850) 892-2888
Fax
(850) 892-2405
NPI assigned
Apr 6, 2007
Organization subpart
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

Authorized official

Name
James W Howell, DONPI 1134315443
Title
Owner
Phone
(850) 892-2888

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
Rural Health Clinic/Center 261QR1300X OS007047 FL Primary

Addresses

Primary practice location

21 W Main Ave
Defuniak Springs, FL 32435-2529

Mailing address

21 W Main Ave
Defuniak Springs, FL 32435-2529
Phone (850) 892-2888

Other identifiers 1

IdentifierTypeStateIssuer
125187100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20030227000008 FL Part A Provider - Rural Health Clinic 7810806288 Practice locations: Defuniak Springs, FL
O20040521000398 FL Part B Supplier - Clinic/Group Practice 7810806288 Receives reassigned benefits from 4 practitioners
Practice locations: Defuniak Springs, FL; Niceville, FL

Rural health clinic certification: CCN 108941

Legal name
DOCTORS MEDICAL CENTER OF WALTON COUNTY PA
Doing business as
N/A
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Nov 29, 2001
Last certification
Mar 21, 2025
Ownership / control type
1B
Organization structure
CorporationProprietary
Incorporated
Oct 22, 1998 in FL
Enrollment address
21W Main Ave
Defuniak Springs, FL 32435-2529

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
10D0957154Doctors Medical Ctr of Walton County21 West Main Avenue, Defuniak Springs, FL 32435Certificate of waiverOct 21, 2027
10D2011413Doctors Medical Center of Walton County Clinic21 W Main Ave, Defuniak Springs, FL 32435Certificate of waiverAug 16, 2026

National Provider Directory

National Provider Directory

Locations

21 W Main Ave
Defuniak Springs, FL 32435
Phone (850) 892-2888

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
James W Howell Individual 5% Or Greater Direct Ownership Interest Oct 22, 1998 100%
Operational/Managerial ControlCeo/Owner Oct 22, 1998 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 6

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": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1437271509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 W MAIN AVE",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324352529",
            "telephone_number": "850-892-2888",
            "fax_number": "850-892-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 W MAIN AVE",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324352529",
            "telephone_number": "850-892-2888",
            "fax_number": "850-892-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS MEDICAL CENTER OF WALTON COUNTY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "HOWELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-892-2888",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "FL",
            "license": "OS007047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125187100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Defuniak Springs, FL

Sources for this page

Verify at the official NPI Registry.