White-Wilson Medical Center, P.A.
NPI 1063267128 · Rural Health Clinic/Center · Defuniak Springs, FL
White-Wilson Medical Center, P.A. is a Rural Health Clinic/Center organization in Defuniak Springs, FL (NPI 1063267128).
Provider details
- NPI number
- 1063267128
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- White-Wilson Medical Center, P.A.
- Organization subpart
- Yes
- Authorized official
- Kenneth Persaud, Ceo(850) 863-8150
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- White-Wilson Medical Center Dfk
- Other name
- White-Wilson Medical Center Dfk
Additional practice locations (3)
- 127 E Redstone AveCrestview, FL 32539-5358Phone: (850) 398-8725Fax: (833) 305-0362
- 130 E Redstone AveCrestview, FL 32539-5348Phone: (850) 398-8725Fax: (888) 987-3138
- 1332 N Ferdon BlvdCrestview, FL 32536-1749Phone: (850) 634-6193
Registry dates
- Enumerated
- 2024-04-22
- Last updated
- 2024-08-01
- Certified
- 2024-08-01
Frequently asked questions
- What is White-Wilson Medical Center, P.A.'s NPI number?
- White-Wilson Medical Center, P.A.'s National Provider Identifier (NPI) is 1063267128, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is White-Wilson Medical Center, P.A.?
- White-Wilson Medical Center, P.A. is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is White-Wilson Medical Center, P.A. located?
- White-Wilson Medical Center, P.A.'s practice location on file with NPPES is 1045 US Highway 331 S, Defuniak Springs, FL 32435-3379.
- What is White-Wilson Medical Center, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for White-Wilson Medical Center, P.A. is (850) 892-3366.
- Who is the authorized official for White-Wilson Medical Center, P.A.?
- The authorized official listed on White-Wilson Medical Center, P.A.'s NPPES record is Kenneth Persaud, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is White-Wilson Medical Center, P.A.'s NPI active?
- Yes — White-Wilson Medical Center, P.A.'s NPI (1063267128) is active in the NPPES registry as of the last update on 2024-08-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.