North Okaloosa Clinic Corp
NPI 1558930313 · General Practice Physician · Crestview, FL
North Okaloosa Clinic Corp is a General Practice Physician organization in Crestview, FL (NPI 1558930313).
Provider details
- NPI number
- 1558930313
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jennifer Jackson, Sr Dir Prov Enrollment & Onboarding(615) 465-3334
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
- Pediatric Adolescent Medicine Physician2080A0000X
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
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
Mailing address
Other names (DBA / former)
- Doing business as
- North Okaloosa Clinic Corp
- Doing business as
- North Okaloosa Physicians Group
- Doing business as
- North Okaloosa Physicians Group
Registry dates
- Enumerated
- 2021-06-24
- Last updated
- 2024-05-14
- Certified
- 2024-05-14
Frequently asked questions
- What is North Okaloosa Clinic Corp's NPI number?
- North Okaloosa Clinic Corp's National Provider Identifier (NPI) is 1558930313, 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 General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is North Okaloosa Clinic Corp located?
- North Okaloosa Clinic Corp's practice location on file with NPPES is 131 E Redstone Ave Ste 105, Crestview, FL 32539-5355.
- 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) 398-8725.
- 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 (1558930313) is active in the NPPES registry as of the last update on 2024-05-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.