Gregory Paul Staviski, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME63238 Issued in FL

Practice address

151 Mary Esther Blvd
Suite 303
Mary Esther, FL 32569-1972

Phone

(850) 243-7788

Fax

(850) 243-7738

NPI assigned

Apr 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Southeastern Interventional Pain Physicians, P.a.

  dba Emerald Coast Pain Physicians

  • Specialist
  • Mary Esther, FL
  • NPI 1700843513
  Medicare reassignment NPD

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1619934379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 699",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325620699",
            "telephone_number": "850-243-7788",
            "fax_number": "850-243-7738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 MARY ESTHER BLVD",
            "address_2": "SUITE 303",
            "city": "MARY ESTHER",
            "state": "FL",
            "postal_code": "325691972",
            "telephone_number": "850-243-7788",
            "fax_number": "850-243-7738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAVISKI",
        "first_name": "GREGORY",
        "middle_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME63238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7290008",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "44880",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sleep Disorder Center Ft Walton Beach Inc
• Sara Smidt
• Timothy B. Smith, H.A.S.
• Southeastern Interventional Pain Physicians, P.a. (Emerald Coast Pain Physicians)
• Niki Lee Spears, RBT
• Stepping Stones Professional Counseling, Inc.
• Amanda Kay Sternke, RBT
• Rebecca Stevens
• Stillwaters Counseling, LLC
• Suncoast Healthcare Professionals PLLC (HealthSource of Fort Walton Beach South)

• Specialist in Mary Esther, FL
• Providers in Mary Esther, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.