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Organization

Emerald Coast Infectious Diseases Medical Group, P.A.

NPI Record: ActiveInternal Medicine — Infectious Disease
NPI1720017882
Fort Walton Beach, Florida

Provider's NPPES record last updated: March 5, 2026

Overview

Entity Type
Organization
NPI
1720017882
Primary Specialty
Internal Medicine — Infectious Disease
Practice Location
Fort Walton Beach, Florida
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 20, 2026, 5:54 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Internal Medicine

    Infectious Disease

    Allopathic & Osteopathic Physicians

    Primary

    An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

    Taxonomy code 207RI0200X
  • Internal Medicine

    Allergy & Immunology

    Allopathic & Osteopathic Physicians

    An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.

    Taxonomy code 207RA0201X
  • Internal Medicine

    Critical Care Medicine

    Allopathic & Osteopathic Physicians

    An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

    Taxonomy code 207RC0200X
  • Internal Medicine

    Gastroenterology

    Allopathic & Osteopathic Physicians

    An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

    Taxonomy code 207RG0100X
  • Internal Medicine

    Pulmonary Disease

    Allopathic & Osteopathic Physicians

    An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

    Taxonomy code 207RP1001X
  • Internal Medicine

    Rheumatology

    Allopathic & Osteopathic Physicians

    An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.

    Taxonomy code 207RR0500X
  • Podiatrist

    Foot & Ankle Surgery

    Podiatric Medicine & Surgery Service Providers

    Definition to come...

    Taxonomy code 213ES0103X
  • Nurse Practitioner

    Physician Assistants & Advanced Practice Nursing Providers

    (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

    Taxonomy code 363L00000X

Practice Locations

Practice Location

917 Mar Walt Dr

Fort Walton Beach, Florida 32547-6651

Phone: (850) 862-3979

Additional Practice Location

1921 E Nine Mile Rd

Pensacola, Florida 32514-7747

Phone: (850) 999-5837

Fax: (850) 862-0605

Additional Practice Location

1326 Lewis Turner Blvd

Fort Walton Beach, Florida 32547-1139

Phone: (850) 855-4048

Fax: (850) 855-4068

Additional Practice Location

417 Racetrack Rd Nw

Fort Walton Beach, Florida 32547-4612

Phone: (850) 862-3979

Fax: (850) 862-0605

Additional Practice Location

1025 Beal Pkwy N Ste A

Fort Walton Beach, Florida 32547-1481

Phone: (850) 374-8220

Fax: (850) 862-0605

Additional Practice Location

1710 Lisenby Ave

Panama City, Florida 32405-3730

Phone: (850) 807-4420

Fax: (850) 862-0605

Additional Practice Location

137 Crystal Beach Dr Ste 121

Destin, Florida 32541-3573

Phone: (850) 807-4388

Fax: (850) 862-0605

Additional Practice Location

1025 Beal Pkwy N Ste C

Fort Walton Beach, Florida 32547-1481

Phone: (850) 374-3806

Fax: (850) 862-0605

Additional Practice Location

351 N Ferdon Blvd

Crestview, Florida 32536-2727

Phone: (850) 862-3979

Fax: (850) 862-0605

Other Names

  • American Medical GroupReported January 27, 2026
  • Bay, Foot, and Ankle CenterReported January 27, 2026

Record Information

Enumeration Date
July 1, 2006
Provider's NPPES Record Last Updated
March 5, 2026
Certification Date
March 5, 2026
NPISignal NPPES Dataset
August 2026

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