North Okaloosa Clinic Corp
NPI 1144899014ActiveOrganization· Internal Medicine, Pulmonary Disease· Crestview, FL
Internal Medicine, Pulmonary Disease in Crestview, Florida, registered in NPPES in June 2021. The authorized official on file is Jennifer L. Jackson, Sr Dir Prov Enrollment & Onboarding.
Overview
| NPI | 1144899014 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 23, 2021 |
| Last updated in NPPES | Mar 18, 2022 |
| Certified by provider | Mar 18, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Pulmonary Disease Primary | 207RP1001X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Physician Assistant, Medical | 363AM0700X | — | — |
| Physician Assistant, Surgical | 363AS0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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