Emerald Coast Sleep Diagnostics

Primary specialty

Sleep Medicine (Otolaryngology) PhysicianTaxonomy code 207YS0012X

Legal business name

EMERALD COAST SLEEP DIAGNOSTICS

Practice address

620 McKenzie Ave
Panama City, FL 32401-3062

Phone

(850) 518-7378

NPI assigned

Mar 18, 2020

Organization subpart

No

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

Authorized official

Name

Amber McKenzie, APRNNPI 1528433117

Title

Nurse Practitioner

Phone

(850) 518-7378

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Emerald Coast Sleep Diagnostics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Emerald Coast Sleep Diagnostics

  • Sleep Medicine (Otolaryngology) Physician
  • Panama City, FL
  • NPI 1912529116
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amber McKenzie, ARNP

  • Adult Health Nurse Practitioner
  • Panama City, FL
  • NPI 1528433117
  Medicare reassignment Care Compare group NPD Authorized official
• Fred Anthony McLeod, M. D.

  • Specialist
  • Alexander City, AL
  • NPI 1356305940

  FL, Sleep Medicine

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1649806027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 MCKENZIE AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013062",
            "telephone_number": "850-518-7378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 MCKENZIE AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013062",
            "telephone_number": "850-518-7378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD COAST SLEEP DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-18",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "850-518-7378",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207YS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106159700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emerald Coast OBGYN, Inc
• Emerald Coast Obstetrics & Gynecology, P.a.
• Emerald Coast Orthopedics PLLC
• Emerald Coast Pediatrics & Adolescents
• Emerald Coast Regen, PA
• Emerald Coast Sleep Diagnostics
• Emerald Coast Ventures Inc
• Emerald Isle Pulmonary Medicine Inc
• Emerald Waters Inpatient Services LLC
• Jacqueline Emond, LMHC CSOTS

• Otolaryngology Physician in Panama City, FL
• Providers in Panama City, FL by specialty
• Otolaryngology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.