OrganizationActive
North Okaloosa Clinic Corp
NPI 1154990547 · Urology Physician · Crestview, FL
North Okaloosa Clinic Corp is a Urology Physician organization in Crestview, FL (NPI 1154990547).
Provider details
- NPI number
- 1154990547
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jennifer Jackson, Sr Dir Prov Enrollment & Onboarding(615) 465-3334
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
127 E Redstone Ave Ste B
Crestview, FL 32539-5356
Phone: (850) 689-8100
Fax: (850) 689-8261
Street-level locationGet directions
Mailing address
Po Box 689022
Franklin, TN 37068-9022
Other names (DBA / former)
- Doing business as
- North Okaloosa Clinic Corp
- Doing business as
- North Okaloosa Clinic Corp
Registry dates
- Enumerated
- 2021-06-21
- Last updated
- 2022-03-18
- Certified
- 2022-03-18
Frequently asked questions
- What is North Okaloosa Clinic Corp's NPI number?
- North Okaloosa Clinic Corp's National Provider Identifier (NPI) is 1154990547, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is North Okaloosa Clinic Corp?
- North Okaloosa Clinic Corp is classified in the NPPES registry as Urology Physician (Allopathic & Osteopathic Physicians).
- Where is North Okaloosa Clinic Corp located?
- North Okaloosa Clinic Corp's practice location on file with NPPES is 127 E Redstone Ave Ste B, Crestview, FL 32539-5356.
- What is North Okaloosa Clinic Corp's phone number?
- The practice phone number listed in the NPPES registry for North Okaloosa Clinic Corp is (850) 689-8100.
- Who is the authorized official for North Okaloosa Clinic Corp?
- The authorized official listed on North Okaloosa Clinic Corp's NPPES record is Jennifer Jackson, Sr Dir Prov Enrollment & Onboarding. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is North Okaloosa Clinic Corp's NPI active?
- Yes — North Okaloosa Clinic Corp's NPI (1154990547) is active in the NPPES registry as of the last update on 2022-03-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.