Crestview Hospital Corporation
NPI 1902854425 · Family Medicine Physician · Defuniak Springs, FL
Crestview Hospital Corporation is a Family Medicine Physician organization in Defuniak Springs, FL (NPI 1902854425).
Provider details
- NPI number
- 1902854425
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Crestview Hospital Corporation
- Organization subpart
- Yes
- Authorized official
- Jennifer Jackson, Sr Dir Onboarding & Prov Enrollment(615) 465-3334
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Rural Health Clinic/Center261QR1300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
- Gateway Medical Clinic Defuniak
- Doing business as
- Gateway Medical Clinic Defuniak
Registry dates
- Enumerated
- 2006-05-05
- Last updated
- 2022-03-18
- Certified
- 2022-02-14
Frequently asked questions
- What is Crestview Hospital Corporation's NPI number?
- Crestview Hospital Corporation's National Provider Identifier (NPI) is 1902854425, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Crestview Hospital Corporation?
- Crestview Hospital Corporation is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Crestview Hospital Corporation located?
- Crestview Hospital Corporation's practice location on file with NPPES is 650 US Highway 331 S, Defuniak Springs, FL 32435-3349.
- What is Crestview Hospital Corporation's phone number?
- The practice phone number listed in the NPPES registry for Crestview Hospital Corporation is (850) 892-3366.
- Who is the authorized official for Crestview Hospital Corporation?
- The authorized official listed on Crestview Hospital Corporation's NPPES record is Jennifer Jackson, Sr Dir Onboarding & Prov Enrollment. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Crestview Hospital Corporation's NPI active?
- Yes — Crestview Hospital Corporation's NPI (1902854425) 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.