Emergency Providers Group LLC
NPI 1164711206 · Emergency Medicine Physician · Fort Walton Beach, FL
Emergency Providers Group LLC is a Emergency Medicine Physician organization in Fort Walton Beach, FL (NPI 1164711206).
Provider details
- NPI number
- 1164711206
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Penkhus, Vice President(615) 344-9551
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
- 2011-03-29
- Last updated
- 2011-04-29
Frequently asked questions
- What is Emergency Providers Group LLC's NPI number?
- Emergency Providers Group LLC's National Provider Identifier (NPI) is 1164711206, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Emergency Providers Group LLC?
- Emergency Providers Group LLC is classified in the NPPES registry as Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Emergency Providers Group LLC located?
- Emergency Providers Group LLC's practice location on file with NPPES is 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708.
- What is Emergency Providers Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Emergency Providers Group LLC is (850) 862-1111.
- Who is the authorized official for Emergency Providers Group LLC?
- The authorized official listed on Emergency Providers Group LLC's NPPES record is Mark Penkhus, Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Emergency Providers Group LLC's NPI active?
- Yes — Emergency Providers Group LLC's NPI (1164711206) is active in the NPPES registry as of the last update on 2011-04-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.