Organization
Emerald Coast Infectious Diseases Medical Group, P.A.
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 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
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.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Internal Medicine
Infectious Disease
Allopathic & Osteopathic Physicians
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 207RA0201XInternal 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 207RC0200XInternal 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 207RG0100XInternal 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 207RP1001XInternal 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 207RR0500XPodiatrist
Foot & Ankle Surgery
Podiatric Medicine & Surgery Service Providers
Definition to come...
Taxonomy code 213ES0103XNurse 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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