SOUTH WALTON MEDICAL GROUP


Address: 10065 Us Highway 98 W Ste B101, Miramar Beach, FL 32550-1902
Phone: 8508378005

SOUTH WALTON MEDICAL GROUP (NPI# 1457697278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457697278
Entity Type Organization
Organization Name SOUTH WALTON MEDICAL GROUP
Practice Address 10065 Us Highway 98 W Ste B101
Miramar Beach
FL 32550-1902
Practice Telephone 8508378005
Practice Fax Number 8508374352
Mailing Telephone 8508378005
Mailing Fax Number 8508374352
Enumeration Date 2012-12-26
Last Update Date 2013-06-17
Authorized Official Name TERRANCE ROLAND REEVES (OWNER PHYSICIAN)
Authorized Official Telephone 8508378005
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QA0401X Family Medicine
Specialization: Addiction Medicine
FLME0067749 FL Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1063750610 South Walton Medical Group Clinic/Center 10065 Us Highway 98 W, Suite B101, Miramar Beach, FL 32550-4924 2013-01-16

Office Location

Street Address 10065 US HIGHWAY 98 W STE B101
City MIRAMAR BEACH
State FL
Zip Code 32550-1902

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326652645 S & R Dental Services, Inc. Dentist Carr. Int'l Zaragoza 445-1, Cd. Juarez, CHIHUAHUA 32550 2020-09-03
1801304746 Dina Smith Student in an Organized Health Care Education/Training Program 12815 Highway 98, Suite 108, Miramar Beach, FL 32550 2018-01-12
1023484565 The Hormone Restoration Center Health Maintenance Organization 12889 Hwy 98 W, Suite 107b, Miramar Beach, FL 32550 2015-08-19
1093051344 Jason E Baker Dds LLC Dentist 77 South Shore Drive, Miramar Beach, FL 32550 2012-12-13
1801166210 Yadhira A. Diaz Dentist Carr. Internacional Waterfill #500, Zaragoza, CHIHUAHUA 32550 2012-01-03
1427340355 Asim S Ahmed Internal Medicine 7720 Us Highway 98 W Ste 110, Miramar Beach, FL 32550 2011-05-11
1922234160 Ryan Winters Physical Therapy Assistant 7720 Highway 98, 220, Destin, FL 32550 2009-06-02
1619169133 Jessica Marie Virtue Specialist 12815 Hwy 98 W, Suite 114, Destin, FL 32550 2007-08-17
1811100217 Maria G Vazquez Dentist 445 Zaragoza, Juarez, MEXICO 32550 2007-05-08
1013137082 Dental Waterfill Sc Dentist 445 Saborosa Ave, Sabarosa, CHIH 32550 2007-05-01
Find all providers in zip 32550

Taxonomy Information

Taxonomy Code 207QA0401X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Addiction Medicine

Taxonomy Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649895095 Bdmj Holdings Family Medicine 2150 Lake Ida Rd Ste 2, Delray Beach, FL 33445-2443 2020-06-11
1932730942 Freeport Medical Associates Family Medicine 17256 Main St N Ste 1, Blountstown, FL 32424-1775 2020-01-29
1649822867 Medical Partners of The Palm Beaches Family Medicine 2600 Quantum Blvd Bldg A, Boynton Beach, FL 33426-8627 2019-07-09
1780247064 Pinnacle Rehabilitation Group Family Medicine 1680 Se Lyngate Dr Ste 204, Port Saint Lucie, FL 34952-4300 2019-04-22
1518441252 Solstice Health and Wellness, LLC Family Medicine 1219 S East Ave South, Suite C204, Sarasota, FL 34239-2340 2018-09-19
1063956761 Inspirations Recovery Center, LLC Family Medicine 5208 10th Ave N, Greenacres, FL 33463-2053 2016-12-14
1003365800 Family First Family Medicine 5220 Hood Road, Suite 100, Palm Beach Gardens, FL 33418-8910 2016-09-22
1396290409 Aquarius Physicians Group Family Medicine 749 Us Highway 1, Suite 210, North Palm Beach, FL 33408-4400 2016-08-18
1861823452 Parthenon Behavioral Center Family Medicine 5101 Bowden Road, Jacksonville, FL 32216 2013-12-06
1851682066 Jn Medical LLC Family Medicine 2625 West Way, Singer Island, FL 33404-3833 2011-04-21
Find all providers with the same taxonomy

Competitor

Search similar providers

City MIRAMAR BEACH
Zip Code 32550

Improve Information

Please comment or provide details below to improve the information on SOUTH WALTON MEDICAL GROUP.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches