Magnolia Medical Clinic P.A.
NPI 1639281652 · Family Medicine Physician · Fort Walton Beach, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Magnolia Medical Clinic P.A. is a Family Medicine Physician organization in Fort Walton Beach, FL (NPI 1639281652).
Provider details
- NPI number
- 1639281652
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Crystal Weatherington, Practice Administrator(850) 243-0520
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
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
3 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
Additional practice locations (2)
- 4012 Commons Dr WDestin, FL 32541-8422Phone: (850) 243-7681Fax: (850) 243-0520
- 131 Magnolia Ave SeFort Walton Beach, FL 32548-7266Phone: (850) 243-7681Fax: (850) 243-0471
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2025-03-10
- Certified
- 2025-03-10
Frequently asked questions
- What is Magnolia Medical Clinic P.A.'s NPI number?
- Magnolia Medical Clinic P.A.'s National Provider Identifier (NPI) is 1639281652, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Magnolia Medical Clinic P.A.?
- Magnolia Medical Clinic P.A. is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Magnolia Medical Clinic P.A. located?
- Magnolia Medical Clinic P.A.'s practice location on file with NPPES is 319 Green Acres Rd Ste 101, Fort Walton Beach, FL 32547.
- What is Magnolia Medical Clinic P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Magnolia Medical Clinic P.A. is (850) 243-7681.
- Does Magnolia Medical Clinic P.A. accept Medicare?
- Magnolia Medical Clinic P.A. 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 Magnolia Medical Clinic P.A.?
- The authorized official listed on Magnolia Medical Clinic P.A.'s NPPES record is Crystal Weatherington, Practice Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Magnolia Medical Clinic P.A.'s NPI active?
- Yes — Magnolia Medical Clinic P.A.'s NPI (1639281652) is active in the NPPES registry as of the last update on 2025-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.