Individual provider Active NPI

John Quang Nguyen, M.D.

  • Family Medicine Physician
  • Fort Walton Beach, FL
National Provider Identifier
1942452255
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME131654 Issued in FL
Practice address
1823 Hurlburt Rd Ste 7
Fort Walton Beach, FL 32547-3748
Phone
(850) 226-8254
Fax
(850) 226-6602
NPI assigned
Oct 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301092671 MI
Family Medicine Physician 207Q00000X P1906 TX
Family Medicine Physician 207Q00000X ME131654 FL Primary

Addresses

Primary practice location

1823 Hurlburt Rd Ste 7
Fort Walton Beach, FL 32547-3748

Mailing address

PO Box 936
Shalimar, FL 32579-0936
Phone (850) 226-8254

Other practice location 1

4012 Commons Dr W Ste 100
Destin, FL 32541-8424
Phone (850) 279-4088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170711002133 FL Practitioner - Family Practice 4880853530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Coast Gynecology, Inc.Group PAC ID 1153598412, 2 clinicians

Practice addresses (Care Compare)

1823 Hulburt Rd
Suite 7
Ft. Walton Beach, FL 32547-3748
Phone (850) 862-8547

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Shalimar, FL, CCN 107240
  • Peoples Home Health LLC Home health agency, Pensacola, FL, CCN 109664
  • Sacred Heart Hospital on the Emerald Coast Hospital, Miramar Beach, FL, CCN 100292
  • HCA Florida Twin Cities Hospital Hospital, Niceville, FL, CCN 100054
  • HCA Florida Fort Walton-Destin Hospital Hospital, Fort Walton Beach, FL, CCN 100223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME131654FLMDFamily Medicine Physician
4301092671MIMDFamily Medicine Physician
P1906TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Gynecology, Inc. CurrentSince Dec 1, 2018 Accepting new patients
Emerald Coast Hospitalist Inc Past Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Coastal Urology P a PastSince Sep 8, 2025 Accepting new patients

Locations

4012 Commons Dr W
Ste 100
Destin, FL 32541
Phone (850) 837-0442

1823 Hurlburt Rd
Ste 7
Fort Walton Beach, FL 32547
Phone (850) 226-6591

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1942452255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "SHALIMAR",
            "state": "FL",
            "postal_code": "325790936",
            "telephone_number": "850-226-8254",
            "fax_number": "850-226-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 HURLBURT RD STE 7",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325473748",
            "telephone_number": "850-226-8254",
            "fax_number": "850-226-6602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4012 Commons Dr W Ste 100",
            "address_purpose": "LOCATION",
            "city": "Destin",
            "state": "FL",
            "postal_code": "325418424",
            "country_code": "US",
            "telephone_number": "850-279-4088",
            "fax_number": "850-837-1051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JOHN",
        "middle_name": "QUANG",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-17",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301092671",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P1906",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME131654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

Verify at the official NPI Registry.