NPIMap

Organization Active NPI

North Walton Rural Hospital, LLC

  • Rural Acute Care Hospital
  • Defuniak Springs, FL
National Provider Identifier
1750142121
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
Legal business name
NORTH WALTON RURAL HOSPITAL, LLC
Practice address
4413 US Highway 331 S
Defuniak Springs, FL 32435-6307
Phone
(850) 920-2065
NPI assigned
Jan 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Authorized official

Name
Jon Ward, MDNPI 1720039829
Title
Owner
Phone
(850) 290-2065

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X
Rural Acute Care Hospital 282NR1301X Primary

Addresses

Primary practice location

4413 US Highway 331 S
Defuniak Springs, FL 32435-6307

Mailing address

4413 US Highway 331 S
Defuniak Springs, FL 32435-6307
Phone (850) 920-2065

Other identifiers 3

IdentifierTypeStateIssuer
4558OtherFLHOSPITALLICENSE
124986600MedicaidFL
365397MedicaidAL

Other names 1

  • North Walton Doctors Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20241105000393 FL Part A Provider - Hospital 8123559168 Practice locations: Defuniak Springs, FL
O20241119002404 FL Part B Supplier - Clinic/Group Practice 8123559168 Receives reassigned benefits from 48 practitioners
Practice locations: Defuniak Springs, FL

Hospital certification: CCN 100365

Legal name
NORTH WALTON RURAL HOSPITAL LLC
Doing business as
NORTH WALTON DOCTORS HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Dec 18, 2024
Last certification
Dec 18, 2024
Beds
2
Ownership / control type
Physician ownership
Organization structure
LLCProprietary
Enrollment address
4413 US Highway 331 S
Defuniak Springs, FL 32435-6307
Main/Primary Hospital Location
Hospital subgroups
General

Care Compare: Hospital

Medicare Care Compare
Listed as
North Walton Doctors HospitalCCN 100365
Type
Acute Care Hospitals
Ownership
Physician
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2295826North Walton Rural Hospital LLC4413 US 331 S, Defuniak Springs, FL 32435ComplianceDec 12, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
North Walton Healthcare Campus LLC Organization, Defuniak Springs, FL Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 18, 2023 100%
Huy Nguyen Individual 5% Or Greater Indirect Ownership Interest Aug 24, 2024 15.33%
5% Or Greater Security Interest Aug 27, 2024 15.33%
Corporate OfficerCeo Aug 27, 2024
W-2 Managing Employee Aug 27, 2024
Jon Ryan Ward Individual 5% Or Greater Indirect Ownership InterestOwner Aug 24, 2024 35.33%
5% Or Greater Security Interest Aug 27, 2024 35.33%
James C McLoughlin Individual 5% Or Greater Indirect Ownership Interest Aug 27, 2024 16.67%
5% Or Greater Security Interest Aug 27, 2024 16.67%

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • James C McLoughlin, MD
    • Orthopaedic Surgery Physician
    • Panama City, FL
    • NPI 1447248836

    5% Or Greater Indirect Ownership Interest, 5% Or Greater Security Interest

    CMS ownership
  • Huy Bao Nguyen, MD
    • Emergency Medicine Physician
    • Crestview, FL
    • NPI 1396797155

    5% Or Greater Indirect Ownership Interest, 5% Or Greater Security Interest, Corporate Officer, W-2 Managing Employee

    CMS ownership
  • Jon Ward, MD
    • MOHS-Micrographic Surgery Physician
    • Panama City, FL
    • NPI 1720039829

    5% Or Greater Indirect Ownership Interest, 5% Or Greater Security Interest

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 48

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

View all 48

Affiliated clinicians 58

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 58

NPI Registry JSON

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1750142121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4413 US HIGHWAY 331 S",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324356307",
            "telephone_number": "850-920-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4413 US HIGHWAY 331 S",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324356307",
            "telephone_number": "850-920-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH WALTON RURAL HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-290-2065",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOSPITALLICENSE",
            "identifier": "4558",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124986600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "365397",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Walton Doctors Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Defuniak Springs, FL

Sources for this page

Verify at the official NPI Registry.