RURAL PRIMARY CARE SOUTH-WALTON, INC. – NPI #1912545955
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

RURAL PRIMARY CARE SOUTH-WALTON, INC. is a provider located in SANTA ROSA BEACH, FL. NPPES has assigned the NPI number 1912545955 to RURAL PRIMARY CARE SOUTH-WALTON, INC. on December 19, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 4 years ago on Feb 04, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RURAL PRIMARY CARE SOUTH-WALTON, INC. below.

NPI Profile for
RURAL PRIMARY CARE SOUTH-WALTON, INC.

NPI Number
1912545955
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RURAL PRIMARY CARE SOUTH-WALTON, INC.
Primary location
5551 US HIGHWAY 98
SUITE 2
SANTA ROSA BEACH, FL 32459
Phone: (850) 420-5420 Fax: (850) 244-8011
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
AMANDA PATTON
PRACTICE MANAGER
Phone: (850) 420-5420
Updated
Certification Date
Feb 04, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for RURAL PRIMARY CARE SOUTH-WALTON, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFL110818301
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)
261QR1300X
- Clinic/Center / Rural Health
208D00000X
- General Practice

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.