SOUTH WALTON ACADEMY, INC. (NPI# 1568964278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568964278 |
| Entity Type | Organization |
| Organization Name | SOUTH WALTON ACADEMY, INC. |
| Practice Address |
585 Mack Bayou Rd Santa Rosa Beach FL 32459-3111 |
| Practice Telephone | 8502134595 |
| Mailing Telephone | 8502134595 |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2019-12-04 |
| Authorized Official Name | MRS. CALLEY G MIDDLEBROOKS (DEVELOPMENTAL THERAPIST) |
| Authorized Official Telephone | 8502134595 |
| Authorized Official Credential | DT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 1255535597 | 05 |
| Street Address |
585 MACK BAYOU RD |
| City | SANTA ROSA BEACH |
| State | FL |
| Zip Code | 32459-3111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255535597 | Calley G. Middlebrooks | Developmental Therapist | 585 Mack Bayou Rd, Santa Rosa Beach, FL 32459-3111 | 2007-06-12 |
| 1891346714 | Sana Nasiruddin | Behavior Technician | 585 Mack Bayou Rd, Santa Rosa Beach, FL 32459-3111 | 2019-09-23 |
| 1992352504 | Kara Place | Specialist/Technologist | 585 Mack Bayou Rd, Santa Rosa Beach, FL 32459-3111 | 2019-08-20 |
| 1639735657 | Advanced Behavioral Analysis, LLC | Behavioral Analyst | 585 Mack Bayou Rd, Santa Rosa Beach, FL 32459-3111 | 2019-05-15 |
| 1013470400 | Alyssa Noell Clayton | Specialist/Technologist | 585 Mack Bayou Rd, Santa Rosa Beach, FL 32459-3111 | 2019-04-11 |
| 1295170520 | Southern Radiology Specialists of Destin Pllc | Radiology | 585 Mack Bayou Rd, Santa Rosa Beach, FL 32459-3111 | 2013-04-30 |
| 1346588506 | Walter John Edwardson | Speech-Language Pathologist | 585 Mack Bayou Rd, Santa Rosa Beach, FL 32459-3111 | 2013-01-23 |
| 1851516223 | Health Diagnostics of Santa Rosa LLC | Clinic/Center | 585 Mack Bayou Rd, Santa Rosa Beach, FL 32459-3111 | 2007-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740521 | Gary Mcfadyen | Hearing Instrument Specialist | 395 E. Point Washington, Santa Rosa Beach, FL 32459 | 2020-11-04 |
| 1235783218 | Camilla Ruth Chacon | Nurse Practitioner | 4821 Highway 98 West, Suite 104, Santa Rosa Beach, FL 32459 | 2019-07-29 |
| 1942797287 | Lauren Mank | Assistant Behavior Analyst | 67 Hiker St Fl 32459, Santa Rosa Beach, FL 32459 | 2018-04-20 |
| 1740781137 | Imaging Institute LLC | Radiology | 6757 Us Hwy 98 W Ste 301, Santa Rosa Beach, FL 32459 | 2018-02-22 |
| 1023540648 | Emerald Coast Medical Supplies LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 48 Bald Eagle Dr, Santa Rosa Beach, FL 32459 | 2017-04-02 |
| 1215485230 | Tamra Snook | Social Worker | 156 N County Highway 393 Unit 1, Santa Rosa Beach, FL 32459 | 2016-09-19 |
| 1437605730 | Alexandra Armstrong | Physical Therapist | 249 Mack Bayou Loop Ste 101, Santa Rosa Beach, FL 32459 | 2016-08-28 |
| 1386097749 | Itetra Smith | Behavior Technician | 67 Hiker St, Santa Rosa Beach, FL 32459 | 2016-07-20 |
| 1730527086 | Emerald Coast Medical Supplies LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 48 Bald Eagle Drive, Santa Rosa Beach, FL 32459 | 2013-06-10 |
| 1114269768 | Pamela Jean Skaff | Dentist | 101 Lecom Way, Defuniak Springs, FL 32459 | 2013-03-21 |
| Find all providers in zip 32459 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568934560 | Point Washington Medical Clinic Inc | Clinic/Center | 1290 N County Highway 395, Santa Rosa Beach, FL 32459-5908 | 2019-01-02 |
| 1780604520 | Village Health Associates, LLC | Clinic/Center | 4942 Us Highway 98 W, Suite 15, Santa Rosa Beach, FL 32459-4091 | 2006-07-21 |
| 1073025276 | Audiology Services Company Usa, LLC | Clinic/Center | 141 Mack Bayou Loop Ste 202, Santa Rosa Beach, FL 32459-7194 | 2017-10-27 |
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| 1417558651 | Eclipse Wellness Center | Clinic/Center | 3015 S Congress Ave Ste 7, Palm Springs, FL 33461-2111 | 2020-11-04 |
| 1003416843 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 2465 N Orange Blossom Trail, Kissimmee, FL 34744 | 2020-10-30 |
| 1679173926 | Haven Medical Center, Inc. | Clinic/Center | 11961 N Florida Ave, Tampa, FL 33612-5213 | 2020-10-27 |
| 1134729494 | Anchor Plus Wellness Center, LLC | Clinic/Center | 5951 Nw 151st St Ste 205, Miami Lakes, FL 33014-2445 | 2020-10-27 |
| 1396344016 | Magic Steps Therapy LLC | Clinic/Center | 281 Nw 59th Ct, Miami, FL 33126-4749 | 2020-10-23 |
| 1194324046 | Fine Therapy and Rehab Center Corp | Clinic/Center | 10300 Sw 72nd St Ste 123, Miami, FL 33173-3001 | 2020-10-21 |
| 1659979243 | B&b Medical Center Inc | Clinic/Center | 219 Ne 8th Ave, Hialeah, FL 33010-5116 | 2020-10-15 |
| 1386242055 | A & P Therapy Services, LLC | Clinic/Center | 2061 Sw 150th Ave, Miami, FL 33185-5689 | 2020-10-14 |
| 1467059741 | Aaa Physicians Group | Clinic/Center | 109 Terra Mango Loop Ste B, Orlando, FL 32835-8511 | 2020-10-08 |
| Find all providers with the same taxonomy | ||||
| City | SANTA ROSA BEACH |
| Zip Code | 32459 |
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| 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.