Emerald Coast Surgical Associates, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

EMERALD COAST SURGICAL ASSOCIATES, LLC

Practice address

907 Mar Walt Dr Ste 2011
Fort Walton Beach, FL 32547-6756

Phone

(850) 794-4572

Fax

(850) 794-4570

NPI assigned

Sep 23, 2026

Last updated

Sep 23, 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

Matthew Johnson, MD

Title

Owner

Phone

(702) 719-9059

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1790121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1568375541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 MAR WALT DR STE 2011",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476756",
            "telephone_number": "850-794-4572",
            "fax_number": "850-794-4570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 MAR WALT DR STE 2011",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476756",
            "telephone_number": "850-794-4572",
            "fax_number": "850-794-4570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD COAST SURGICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-23",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-719-9059",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emerald Coast Rehabilitation Center, LLC (Emerald Coast Center)
• Emerald Coast Speech Therapy LLC
• Emerald Coast Sports Medicine and Orthopaedics, P.a.
• Emerald Coast Support Coordinators, Inc.
• Emerald Coast Surgery Center, LP (Emerald Coast Surgery Center)
• Emerald Coast TMS of Fort Walton Beach
• Emerald Coast Urology
• Emergency Providers Group LLC
• Empower Today Therapy LLC
• Encore Rehabilitation Inc (Encore Rehab of Fort Walton Beach)

• Surgery Physician in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.