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

Dr. John Edward Loudermilk, MD

Individual provider Family Medicine Physician · NPI 1780996918

Dr. John Edward Loudermilk, MD is a Family Practice in Destin, Florida. Qualified in 2010, 16 years ago. Practices with Magnolia Medical Clinic PA, a 10-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida, Indiana and West Virginia.

Years since qualifying
16
Licensed in
FL, IN, WV
In the registry since
2010
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4608 Opa Locka Ln Ste 300
Destin, FL 32541-0745
Phone: (850) 270-7141
Fax: (448) 203-3818
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME147765 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 01074589A (IN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 25027 (WV)

Record details

NPI number1780996918
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 2, 2010
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Magnolia Medical Clinic P.A. — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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