Emerald Coast Audiology PA
NPI 1063521698 · Audiologist · Fort Walton Beach, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Emerald Coast Audiology PA is a Audiologist organization in Fort Walton Beach, FL (NPI 1063521698).
Provider details
- NPI number
- 1063521698
- Entity type
- Organization
- Primary specialty
- AudiologistSpeech, Language and Hearing Service Providers
- Organization subpart
- No
- Authorized official
- Carver Dethloff, Owner(850) 315-4141
- License
- AY1018 (FL)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2006-08-29
- Last updated
- 2020-07-21
- Certified
- 2020-07-21
Frequently asked questions
- What is Emerald Coast Audiology PA's NPI number?
- Emerald Coast Audiology PA's National Provider Identifier (NPI) is 1063521698, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Emerald Coast Audiology PA?
- Emerald Coast Audiology PA is classified in the NPPES registry as Audiologist (Speech, Language and Hearing Service Providers).
- Where is Emerald Coast Audiology PA located?
- Emerald Coast Audiology PA's practice location on file with NPPES is 11 Racetrack Rd Ne Ste E4, Fort Walton Beach, FL 32547-1867.
- What is Emerald Coast Audiology PA's phone number?
- The practice phone number listed in the NPPES registry for Emerald Coast Audiology PA is (850) 315-4141.
- Does Emerald Coast Audiology PA accept Medicare?
- Emerald Coast Audiology PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Emerald Coast Audiology PA?
- The authorized official listed on Emerald Coast Audiology PA's NPPES record is Carver Dethloff, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Emerald Coast Audiology PA's NPI active?
- Yes — Emerald Coast Audiology PA's NPI (1063521698) is active in the NPPES registry as of the last update on 2020-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.