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Jason Qualley, MD, CCP,LP

Interventional Pain Medicine Physician in Destin, FL · enumerated 2018.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1215432901

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Registry record

Entity type Individual (Type 1)
Name Jason Qualley
Credential MD, CCP,LP
Sex Male
Practice address 155 Crystal Beach Dr Ste 200, Destin, FL, 32541
Fax (855) 344-6080
Enumeration date Mar 26, 2018
Last updated in NPPES Jan 5, 2026

Taxonomy & licenses

208M00000X Hospitalist Physician Allopathic & Osteopathic Physicians · License ME165604 (FL) Secondary
242T00000X Perfusionist Technologists, Technicians & Other Technical Service Providers Secondary
208VP0014X Interventional Pain Medicine Physician Allopathic & Osteopathic Physicians · License ME165604 (FL) Primary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 613883 (TX) Secondary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
121439800 Medicaid FL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1215432901 active?
Yes, as of the latest NPPES snapshot, NPI 1215432901 is active (record last updated 2026-01-05).
How do I verify Jason Qualley's NPI record?
Cross-check NPI 1215432901 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-01-05.