White-Wilson Medical Center – Clinic/Center, NPI 1467437277
Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for White-Wilson Medical Center
127 E Redstone Ave
Crestview, FL 325395358
Phone: (850) 398-8725
Fax: (833) 305-0362
Type: Location
130 E Redstone Ave
Crestview, FL 325395348
Phone: (850) 398-8725
Fax: (833) 305-0361
Type: Location
1032 Mar Walt Dr Unit 210
Fort Walton Beach, FL 325476661
Phone: (850) 863-8260
Fax: (833) 916-2248
Type: Location
1110 Hospital Rd
Fort Walton Beach, FL 325476742
Phone: (850) 863-8100
Fax: (850) 863-8548
Type: Location
1106 Hospital Rd
Fort Walton Beach, FL 325476742
Phone: (850) 863-8169
Fax: (833) 916-2251
Type: Location
999 Mar Walt Dr
Fort Walton Beach, FL 325476758
Phone: (850) 863-8269
Fax: (833) 916-2269
Type: Location
990 Airport Rd
Destin, FL 325412820
Phone: (850) 269-6400
Fax: (850) 654-9581
Type: Location
1045 Hwy 331 South
Suite D
DeFuniak Springs, FL 324353379
Phone: (850) 892-3366
Fax: (833) 451-2226
Type: Location
1332 N Ferdon Blvd
Crestview, FL 325361749
Phone: (850) 634-6193
Fax: (833) 741-3080
Type: Location
8990 Navarre Pkwy
Navarre, FL 325662216
Phone: (850) 396-0108
Fax: (850) 939-4933
Type: Location
2001 E Highway 20
Niceville, FL 325788826
Phone: (850) 897-4400
Fax: (850) 897-0623
Type: Location
1005, Mar Walt Drive, Wright, Fort Walton Beach, Okaloosa County, Florida, 32547, United States
ADMINISTRATION
FORT WALTON BEACH, FL 325476707
Phone: (850) 863-8131
Fax: (850) 863-4152
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-09-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-05-31 (738 days ago).
Enrollment records
2
Earliest due date
2024-05-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20031212000140 | O | Clinic/Group Practice | FL | TBD |
| O20100930090342 | O | Multi-Specialty - Physician | FL | 2024-05-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32539)
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