Individual provider Active NPI

Keilah Marie Barton, DO

  • Family Medicine Physician
  • Fort Walton Beach, FL
National Provider Identifier
1659931962
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS209999 Issued in FL
Practice address
319 Green Acres Rd Ste 101
Fort Walton Beach, FL 32547-1170
Phone
(850) 243-7681
Fax
(850) 243-0471
NPI assigned
Jun 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS209999 FL Primary

Addresses

Primary practice location

319 Green Acres Rd Ste 101
Fort Walton Beach, FL 32547-1170

Mailing address

319 Green Acres Rd Ste 101
Fort Walton Beach, FL 32547-1170
Phone (850) 243-7681

Other practice location 1

4012 Commons Dr W Ste 110B
Destin, FL 32541-8424
Phone (850) 243-7681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220726002823 TX Practitioner - Family Practice 5496137200 Reassigns benefits to 1 organization
I20250109003011 FL Practitioner - Family Practice 5496137200 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Magnolia Medical Clinic P.a.Group PAC ID 8325185473, 12 clinicians

Practice addresses (Care Compare)

4012 W Commons Dr
Unit 100
Destin, FL 32541-9998
Phone (850) 243-7681

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS209999FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fredericksburg Family Clinic PA Family Medicine CurrentSince Sep 12, 2022 Accepting new patients
Magnolia Medical Clinic P.a. Family Medicine CurrentSince Apr 1, 2025 Accepting new patients
Fredericksburg Family Clinic PA Family Medicine CurrentSince Sep 12, 2022 Accepting new patients
Magnolia Medical Clinic P.a. Family Medicine CurrentSince Apr 1, 2025 Accepting new patients
Afc Florida, LLC Family Medicine CurrentSince Nov 13, 2024 Accepting new patients

Locations

4012 Commons Dr W
Destin, FL 32541
Phone (850) 243-7681

4012 Commons Dr W
Ste 110
Destin, FL 32541
Phone (850) 473-0990

4012 Commons Dr W
Ste 100
Destin, FL 32541
Phone (850) 837-0442

4012 Commons Dr W
Ste 110B
Destin, FL 32541
Phone (850) 243-7681

319 Green Acres Rd
#101
Ft Walton Bch, FL 32547
Phone (850) 243-7681

4713 Highway 90
Pace, FL 32571
Phone (850) 304-0694

15415 Panama City Beach Pkwy
Panama City Beach, FL 32413
Phone (850) 588-3589

Interoperability endpoints

  • Direct secure messaging: keilah.barton@mmcfp.directbygreenway.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.60552

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1659931962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 GREEN ACRES RD STE 101",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471170",
            "telephone_number": "850-243-7681",
            "fax_number": "850-243-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 GREEN ACRES RD STE 101",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471170",
            "telephone_number": "850-243-7681",
            "fax_number": "850-243-0471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4012 Commons Dr W Ste 110B",
            "address_purpose": "LOCATION",
            "city": "Destin",
            "state": "FL",
            "postal_code": "325418424",
            "country_code": "US",
            "telephone_number": "850-243-7681",
            "fax_number": "850-243-0471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARTON",
        "first_name": "KEILAH",
        "middle_name": "MARIE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS209999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

Verify at the official NPI Registry.