Active NPI
Loudermilk Medical PLLC
- Family Medicine Physician
- Destin, FL
National Provider Identifier
1932034345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- LOUDERMILK MEDICAL PLLC
- Practice address
- 4608 Opa Locka LN Ste 300
Destin, FL 32541-0745 - Phone
- (850) 270-7141
- Fax
- (448) 203-3818
- NPI assigned
- Jun 16, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John E Loudermilk, MD
- Title
- Physician Owner
- Phone
- (304) 730-2975
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
4608 Opa Locka LN Ste 300
Destin, FL 32541-0745
Mailing address
4608 Opa Locka LN Ste 300
Destin, FL 32541-0745
Phone (850) 270-7141
National Provider Directory
National Provider DirectoryLocations
4608 Opa Locka Ln
Ste 300
Destin, FL 32541
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Destin, FL
- NPI 1780996918
-
- Family Medicine Physician
- Destin, FL
- NPI 1245273267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781568000000",
"number": "1932034345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4608 OPA LOCKA LN STE 300",
"city": "DESTIN",
"state": "FL",
"postal_code": "325410745",
"telephone_number": "850-270-7141",
"fax_number": "448-203-3818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4608 OPA LOCKA LN STE 300",
"city": "DESTIN",
"state": "FL",
"postal_code": "325410745",
"telephone_number": "850-270-7141",
"fax_number": "448-203-3818"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOUDERMILK MEDICAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-16",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A",
"authorized_official_last_name": "LOUDERMILK",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PHYSICIAN OWNER",
"authorized_official_telephone_number": "304-730-2975",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Destin, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.