Active NPI
Wayne P Justice, MD
- Family Medicine Physician
- Niceville, FL
National Provider Identifier
1487624201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME83181
- Practice address
- 1003 College Blvd W
Ste 2
Niceville, FL 32578-1068 - Phone
- (850) 678-0443
- Fax
- (850) 678-7999
- NPI assigned
- Jan 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME83181 | FL | Primary |
Addresses
Primary practice location
1003 College Blvd W
Ste 2
Niceville, FL 32578-1068
Mailing address
1003 College Blvd W
Ste 2
Niceville, FL 32578-1068
Phone (850) 678-0443
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 266324400 | Medicaid | FL | |
| 7809271 | Other | FL | AETNA |
| 080190843 | Other | FL | MEDICARE RAILROAD |
| 05126 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Alabama School of Medicine, 1995
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1003 College Blvd W
Suite 2
Niceville, FL 32578-1069
Phone (850) 678-0443
Hospital & facility affiliations
- Centerwell Home Health
- Amedisys Home Health
- Peoples Home Health LLC
- HCA Florida Twin Cities Hospital
- HCA Florida Fort Walton-Destin Hospital
- Sacred Heart Hospital on the Emerald Coast
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wayne P Justice M D P a | Current | Accepting new patients |
Locations
1003 College Blvd W
Ste 2
Niceville, FL 32578
Phone (850) 678-0443
Interoperability endpoints
- wayne.justice.1@26442.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Niceville, FL
- NPI 1528397791
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Shalimar, FL
- NPI 1518991215
-
- Home Health Agency
- Pensacola, FL
- NPI 1679685085
-
- General Acute Care Hospital
- Miramar Beach, FL
- NPI 1558391771
-
- General Acute Care Hospital
- Ft Walton Beach, FL
- NPI 1639128820
-
- General Acute Care Hospital
- Niceville, FL
- NPI 1891732988
-
- Home Health Agency
- Pensacola, FL
- NPI 1801931837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426723200000",
"number": "1487624201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1003 COLLEGE BLVD W",
"address_2": "STE 2",
"city": "NICEVILLE",
"state": "FL",
"postal_code": "325781068",
"telephone_number": "850-678-0443",
"fax_number": "850-678-7999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 COLLEGE BLVD W",
"address_2": "STE 2",
"city": "NICEVILLE",
"state": "FL",
"postal_code": "325781068",
"telephone_number": "850-678-0443",
"fax_number": "850-678-7999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUSTICE",
"first_name": "WAYNE",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-24",
"last_updated": "2015-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME83181",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "266324400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7809271",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "080190843",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "05126",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Niceville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.