Florida Department of Health
Organization Active NPI Public Health or Welfare Agency · Defuniak Springs, FL
NPI 1790746535 · NPPES record last updated Apr 17, 2026
Key facts
- NPI
- 1790746535
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health or Welfare Agency 251K00000X
- Legal business name
- FLORIDA DEPARTMENT OF HEALTH
- Practice address
- 362 State Highway 83
Defuniak Springs, FL 32433-3800 - Phone
- (850) 892-8015
- Fax
- (850) 892-8024
- NPI assigned
- Mar 31, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- FLORIDA DEPARTMENT OF HEALTH
Authorized official
- Name
- Jamie B Carmichael
- Title
- Operations & MGMT Consultant MGR -
- Phone
- (850) 401-6334
Practitioners 20
-
Lindsay Devane Albanese, APRN
-
Elizabeth Anne Dixon, ARNP
-
Shirley Dianne Guillory, ARNP
-
Kerrian A Hazley, MD
-
Joshua Hodge, M.D.
-
William Douglas Necaise, ARNP
-
June Roxanne Mayorca, CAP / LMHC
-
Courtney Lee Barrow, WHNP
-
Makynzie Noel Bass, PA-C
-
Kelly Jamison, FNP-BC
-
Caroline P. Lawrence, PA-C
-
Kristin Moffeit, APRN
-
Robert King Persons, D.O.
-
Amy Rackard, NP-C
-
Jami L Seagle, APRN
-
Stephanie Lynn Morales, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Walton Community Health Center |
Federally qualified health center | Operational/Managerial Control (100%) | Sep 7, 2010 |
| Bradford Community Health Care Inc |
Federally qualified health center | Operational/Managerial Control (100%) | Oct 1, 2013 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061222000176 | FL | Part B Supplier - Public Health/Welfare Agency | 3072424282 |
Receives reassigned benefits from 10 practitioners Practice locations: Santa Rosa Beach, FL; Laurel Hill, FL; Defuniak Springs, FL |
National Provider Directory
- Part of
- Dept of Health Central Pharmacy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Yes |
Addresses
Primary practice location
362 State Highway 83
Defuniak Springs, FL 32433-3800
Mailing address
362 State Highway 83
Defuniak Springs, FL 32433-3800
Phone (850) 892-8015
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 027976500 | Medicaid | FL |
Other providers in Defuniak Springs, FL
- Maria Loreto Fernandez Puig
- Kendall Lynton Fields
- Fisher Pharmacy, Inc
- Meredith Ariel Flanagan
- Florida Department of Health
- Molly B Fulmer
- Garcia Medical Clinic
- Garcia Medical Clinic LLC
- Ruben R Garcia
- Madelyn Garrett
All providers in Defuniak Springs, FL · Public Health or Welfare Agency in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.