Organization Active NPI

Loudermilk Medical PLLC

  • Family Medicine Physician
  • Destin, FL
National Provider Identifier
1932034345
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Jun 16, 2026

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

Authorized official

Name
John E Loudermilk, MDNPI 1780996918
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.