Active NPI
Emerald Coast Infectious Diseases Medical Group, P.a.
- Durable Medical Equipment & Medical Supplies
- Destin, FL
National Provider Identifier
1548069263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- EMERALD COAST INFECTIOUS DISEASES MEDICAL GROUP, P.A.
- Practice address
- 137 Crystal Beach Dr Ste 121
Destin, FL 32541-3573 - Phone
- (850) 807-4388
- NPI assigned
- Mar 13, 2025
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Kelley Gear
- Title
- Assistant Practice Manager
- Phone
- (850) 862-3979
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Infectious Disease Physician
- Fort Walton Beach, FL
- NPI 1598731770
National Provider Directory
National Provider Directory- Tax ID family
- Emerald Coast Infectious Diseases Medical Group PA
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Panama City, FL
- NPI 1457150179
-
- Durable Medical Equipment & Medical Supplies
- Pensacola, FL
- NPI 1558160267
-
- Durable Medical Equipment & Medical Supplies
- Fort Walton Beach, FL
- NPI 1639978356
-
- Durable Medical Equipment & Medical Supplies
- Crestview, FL
- NPI 1649079351
-
- Infectious Disease Physician
- Fort Walton Beach, FL
- NPI 1720017882
-
- Community/Retail Pharmacy
- Fort Walton Beach, FL
- NPI 1154773950
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Customized Equipment (DME) | 332BC3200X |
Addresses
NPPES NPI RegistryPrimary practice location
137 Crystal Beach Dr Ste 121
Destin, FL 32541-3573
Mailing address
917 Mar Walt Dr
Fort Walton Beach, FL 32547-6651
Phone (850) 862-3979
Other names 1
NPPES NPI Registry- American Medical Group
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 13, 2025.
{
"created_epoch": "1741824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741824000000",
"number": "1548069263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "917 MAR WALT DR",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325476651",
"telephone_number": "850-862-3979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 CRYSTAL BEACH DR STE 121",
"city": "DESTIN",
"state": "FL",
"postal_code": "325413573",
"telephone_number": "850-807-4388"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMERALD COAST INFECTIOUS DISEASES MEDICAL GROUP, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-13",
"last_updated": "2025-03-13",
"certification_date": "2025-02-27",
"status": "A",
"authorized_official_last_name": "GEAR",
"authorized_official_first_name": "KELLEY",
"authorized_official_title_or_position": "ASSISTANT PRACTICE MANAGER",
"authorized_official_telephone_number": "850-862-3979"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "American Medical Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Destin, FL
- Zandalee Elliott, BCABA
- Emerald Coast Adult Day Care Center LLC
- Emerald Coast Counseling Center PA
- Emerald Coast Cryotherapy, Performance & Recovery, LLC
- Emerald Coast Emergency Physicians LLP
- Emerald Coast Physical Therapy LLC
- Emerald Coast Psychology LLC
- Emerald Coast Radiation Oncology
- Emerald Coast Urgent Care LLC
- Emerald Coast Vision Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.