Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Life Management of Nw Fl, Inc.

Psychiatry Physician in Port St Joe, FL · enumerated 2006 · authorized official Edwin Ailes, Ceo/President.

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

National Provider Identifier

1316977515

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Registry record

Entity type Organization (Type 2)

Legal business name Life Management of Nw Fl, Inc.

Other name <Unavail>

Parent organization Life Management Center of Northwest Florida, Inc.

Practice address 311 Williams Ave, Port St Joe, FL, 32456

Phone (850) 522-4480

Fax (850) 914-6281

Enumeration date Jul 4, 2006

Last updated in NPPES Apr 24, 2025

Taxonomy & classification

2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Primary

251S00000X Community/Behavioral Health Agency Agencies Secondary

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Edwin Ailes

Title Ceo/President

Phone (850) 522-4485

Other identifiers

Identifier	Type	State	Issuer
060296530	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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-04-24. Verify at npiregistry.cms.hhs.gov.

Where is Life Management of Nw Fl, Inc. located?

The practice location on file with NPPES is in Port St Joe, FL.

Providers at this address

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Donald Summers Mental Health Counselor · Port St Joe, FL NPI 1144211269

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-04-24.