Active NPI
John Quang Nguyen, M.D.
- Family Medicine Physician
- Fort Walton Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME131654
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Peoples Home Health LLC
- Sacred Heart Hospital on the Emerald Coast
- HCA Florida Twin Cities Hospital
- HCA Florida Fort Walton-Destin Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME131654 | FL | MD | Family Medicine Physician |
| 4301092671 | MI | MD | Family Medicine Physician |
| P1906 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf Coast Gynecology, Inc. | Current | 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 | Past | 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.
-
- Gynecology Physician
- Destin, FL
- NPI 1285742817
-
- Urology Physician
- Destin, FL
- NPI 1396853941
-
- Hospitalist Physician
- Panama City, FL
- NPI 1144548793
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Shalimar, FL
- NPI 1518991215
-
- General Acute Care Hospital
- Miramar Beach, FL
- NPI 1558391771
-
- General Acute Care Hospital
- Ft Walton Beach, FL
- NPI 1639128820
-
- General Acute Care Hospital
- Niceville, FL
- NPI 1891732988
-
- Home Health Agency
- Pensacola, FL
- NPI 1801931837
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.