Active NPI
Doctors Medical Center of Walton County PA
- Rural Health Clinic/Center
- Defuniak Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- License
- OS007047
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James W Howell, DO
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125187100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 2
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
- Corporation
- Incorporated
- Oct 22, 1998 in FL
- Enrollment address
- 21W Main Ave
Defuniak Springs, FL 32435-2529
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0957154 | Doctors Medical Ctr of Walton County | Certificate of waiver | Oct 21, 2027 |
| 10D2011413 | Doctors Medical Center of Walton County Clinic | Certificate of waiver | Aug 16, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| James W Howell | 5% Or Greater Direct Ownership Interest | Oct 22, 1998 | 100% |
| Operational/Managerial Control | 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.
-
- Family Medicine Physician
- Defuniak Springs, FL
- NPI 1134315443
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Defuniak Springs, FL
- NPI 1134315443
-
- Family Nurse Practitioner
- Defuniak Springs, FL
- NPI 1811871213
-
- Physician Assistant
- Pensacola, FL
- NPI 1437167699
-
- Family Nurse Practitioner
- Defuniak SPGS, FL
- NPI 1497126544
-
- Family Nurse Practitioner
- Defuniak Springs, FL
- NPI 1235719584
Rural Health
-
- Primary Care Nurse Practitioner
- Defuniak Springs, FL
- NPI 1447338603
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.