Active NPI
Florida Department of Health
- Public Health or Welfare Agency
- Defuniak Springs, FL
National Provider Identifier
1790746535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- 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
- Last updated
- Apr 17, 2026
- Organization subpart
- Yes
- Parent organization
- FLORIDA DEPARTMENT OF HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jamie B Carmichael
- Title
- Operations & MGMT Consultant MGR -
- Phone
- (850) 401-6334
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| 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
National Provider Directory- Part of
- Bay Co Health
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| 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 |
Practitioners & affiliated clinicians
Practitioners 21
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Panama City, FL
- NPI 1780365668
-
- Family Nurse Practitioner
- Defuniak Springs, FL
- NPI 1790754117
-
- Family Medicine Physician
- Santa Rosa Beach, FL
- NPI 1235662487
-
- Ambulatory Women's Health Care Registered Nurse
- Defuniak Springs, FL
- NPI 1992764005
-
- Family Medicine Physician
- Defuniak Springs, FL
- NPI 1689802993
-
- Family Medicine Physician
- Santa Rosa Beach, FL
- NPI 1467540054
-
- Family Medicine Physician
- Destin, FL
- NPI 1215128376
-
- Family Medicine Physician
- Fort Walton Beach, FL
- NPI 1922067669
-
- Nurse Practitioner
- Crestview, FL
- NPI 1083967756
-
- Professional Counselor
- Pensacola, FL
- NPI 1780806414
-
- Nurse Practitioner
- Defuniak Springs, FL
- NPI 1770251480
-
- Physician Assistant
- Graceville, FL
- NPI 1821620816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776384000000",
"number": "1790746535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "362 STATE HIGHWAY 83",
"city": "DEFUNIAK SPRINGS",
"state": "FL",
"postal_code": "324333800",
"telephone_number": "850-892-8015",
"fax_number": "850-892-8024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "362 STATE HIGHWAY 83",
"city": "DEFUNIAK SPRINGS",
"state": "FL",
"postal_code": "324333800",
"telephone_number": "850-892-8015",
"fax_number": "850-892-8024"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLORIDA DEPARTMENT OF HEALTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FLORIDA DEPARTMENT OF HEALTH",
"enumeration_date": "2006-03-31",
"last_updated": "2026-04-17",
"certification_date": "2026-04-17",
"status": "A",
"authorized_official_last_name": "CARMICHAEL",
"authorized_official_first_name": "JAMIE",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OPERATIONS & MGMT CONSULTANT MGR -",
"authorized_official_telephone_number": "850-401-6334"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Defuniak Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.