Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crestview Hospital Corporation

Organization Family Medicine Physician · NPI 1902854425

Crestview Hospital Corporation is a Family Medicine Physician in Defuniak Springs, Florida. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3

Practice location Address checks out

650 US Highway 331 S Ste 4
Defuniak Springs, FL 32435-3349
Phone: (850) 892-3366
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Rural Health Clinic/Center Taxonomy 261QR1300X

Record details

NPI number1902854425
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCrestview Hospital Corporation
Authorized official Jennifer Jackson — Sr Dir Onboarding & Prov Enrollment · (615) 465-3334
Other names Gateway Medical Clinic Defuniak; Gateway Medical Clinic Defuniak
NPI enumeratedMay 5, 2006
Last updated in NPPESMarch 18, 2022
Certification dateFebruary 14, 2022
Mailing address7100 Commerce Way, Ste. 180, Brentwood, TN 37027-2829

Other providers in Defuniak Springs