White-Wilson Medical Center PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

WHITE-WILSON MEDICAL CENTER PA

Doing business as

White-Wilson Medical Center

Practice address

1005 Mar Walt Dr
Administration
Fort Walton Beach, FL 32547-6707

Phone

(850) 863-8131

Fax

(850) 863-4152

NPI assigned

Dec 14, 2005

Last updated

May 15, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathy A Leeper

Title

Medical Staff Coordinator

Phone

(850) 863-8150

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• White-Wilson Medical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Emerald Coast Surgery Center, LP

  dba Emerald Coast Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Fort Walton Beach, FL
  • NPI 1437114378

  Member Of

  NPD member

Locations

Practitioners 144

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brittany Marie Arbacheski Fais, APRN

  • Family Nurse Practitioner
  • Gulf Breeze, FL
  • NPI 1326607276
  Medicare reassignment Care Compare group NPD
• Margaret Ann Avery, FNP-BC

  • Family Nurse Practitioner
  • Fort Walton Beach, FL
  • NPI 1306422191
  Medicare reassignment Care Compare group NPD
• Michael Blocker

  • Family Nurse Practitioner
  • Navarre, FL
  • NPI 1487134052
  Medicare reassignment Care Compare group NPD
• Katrina Pendleton Borner, ARNP

  • Family Nurse Practitioner
  • Fort Walton Beach, FL
  • NPI 1467988220
  Medicare reassignment Care Compare group NPD
• Vergil K Brown III, M.D.

  • Internal Medicine Physician
  • Fort Walton Beach, FL
  • NPI 1871578955
  Medicare reassignment Care Compare group NPD
• David W Burkland, M.D.

  • Surgery Physician
  • Fort Walton Beach, FL
  • NPI 1467437616
  Medicare reassignment Care Compare group NPD
• Christopher Brian Cave, M.D.

  • Family Medicine Physician
  • Navarre, FL
  • NPI 1730169848
  Medicare reassignment Care Compare group NPD
• Ashley T Cusson, ARNP FNP-C

  • Family Nurse Practitioner
  • Destin, FL
  • NPI 1346933892
  Medicare reassignment Care Compare group NPD
• John Christofer Dali, M.D.

  • Surgery Physician
  • Fort Walton Beach, FL
  • NPI 1023083177
  Medicare reassignment Care Compare group NPD
• Melissa Josephine Fischer, M.D.

  • Internal Medicine Physician
  • Fort Walton Beach, FL
  • NPI 1942285036
  Medicare reassignment Care Compare group NPD
• Christopher Michael Hansen, M.D.

  • Family Medicine Physician
  • Fort Walton Beach, FL
  • NPI 1306821293
  Medicare reassignment Care Compare group NPD
• Craig Henry

  • Psychiatric/Mental Health Nurse Practitioner
  • Ocoee, FL
  • NPI 1215789714
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778803200000",
    "number": "1467437277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 MAR WALT DR",
            "address_2": "ADMINISTRATION",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476707",
            "telephone_number": "850-863-8131",
            "fax_number": "850-863-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 MAR WALT DR",
            "address_2": "ADMINISTRATION",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476707",
            "telephone_number": "850-863-8131",
            "fax_number": "850-863-4152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1332 N Ferdon Blvd",
            "address_purpose": "LOCATION",
            "city": "Crestview",
            "state": "FL",
            "postal_code": "325361749",
            "country_code": "US",
            "telephone_number": "850-634-6193",
            "fax_number": "833-741-3080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 E Highway 20",
            "address_purpose": "LOCATION",
            "city": "Niceville",
            "state": "FL",
            "postal_code": "325788826",
            "country_code": "US",
            "telephone_number": "850-897-4400",
            "fax_number": "850-897-0623",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "127 E Redstone Ave",
            "address_purpose": "LOCATION",
            "city": "Crestview",
            "state": "FL",
            "postal_code": "325395358",
            "country_code": "US",
            "telephone_number": "850-398-8725",
            "fax_number": "833-305-0362",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1032 Mar Walt Dr Unit 210",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325476661",
            "country_code": "US",
            "telephone_number": "850-863-8260",
            "fax_number": "833-916-2248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "990 Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Destin",
            "state": "FL",
            "postal_code": "325412820",
            "country_code": "US",
            "telephone_number": "850-269-6400",
            "fax_number": "850-654-9581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 E Redstone Ave",
            "address_purpose": "LOCATION",
            "city": "Crestview",
            "state": "FL",
            "postal_code": "325395348",
            "country_code": "US",
            "telephone_number": "850-398-8725",
            "fax_number": "833-305-0361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1110 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325476742",
            "country_code": "US",
            "telephone_number": "850-863-8100",
            "fax_number": "850-863-8548",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8990 Navarre Pkwy",
            "address_purpose": "LOCATION",
            "city": "Navarre",
            "state": "FL",
            "postal_code": "325662216",
            "country_code": "US",
            "telephone_number": "850-396-0108",
            "fax_number": "850-939-4933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "999 Mar Walt Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325476758",
            "country_code": "US",
            "telephone_number": "850-863-8269",
            "fax_number": "833-916-2269",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1106 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325476742",
            "country_code": "US",
            "telephone_number": "850-863-8169",
            "fax_number": "833-916-2251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1045 Hwy 331 South",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "DeFuniak Springs",
            "state": "FL",
            "postal_code": "324353379",
            "country_code": "US",
            "telephone_number": "850-892-3366",
            "fax_number": "833-451-2226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WHITE-WILSON MEDICAL CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-14",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A",
        "authorized_official_last_name": "LEEPER",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL STAFF COORDINATOR",
        "authorized_official_telephone_number": "850-863-8150"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130182500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White-Wilson Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "White-Wilson Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• White Sands Chiropractic Clinic Inc
• White Sands Integrative Medical, Inc.
• White Sands Physical Therapy Inc
• White Sands Podiatry LLC
• White-Wilson Association, P.a. (White-Wilson Medical Center)
• White-Wilson Medical Center, P.a. (White-Wilson Med Ctr-FWB FP Dept)
• White-Wilson Medical Center, P.a. (White-Wilson Peds Clinic)
• Devin Michael White
• Kristina Maria White, M.ED; LMFT
• Paulette White

• Clinic/Center in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.