Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Magnolia Medical Clinic P.A.

Q: What type of organization is Magnolia Medical Clinic P.A.?

Magnolia Medical Clinic P.A. is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).

Family Medicine Physician in Fort Walton Beach, FL · enumerated 2006 · authorized official Crystal Weatherington, Practice Administrator.

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

National Provider Identifier

1639281652

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Registry record

Entity type Organization (Type 2)

Legal business name Magnolia Medical Clinic P.A.

Practice address 319 Green Acres Rd Ste 101, Fort Walton Beach, FL, 32547

Phone (850) 243-7681

Fax (850) 243-0471

Enumeration date Aug 31, 2006

Last updated in NPPES Mar 10, 2025

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

261Q00000X Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Crystal Weatherington

Title Practice Administrator

Phone (850) 243-0520

Other identifiers

Identifier	Type	State	Issuer
254841100	Medicaid	FL	-
CH5541	Other	FL	RAIL ROAD

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.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Magnolia Medical Clinic P.A.?

Magnolia Medical Clinic P.A. is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-03-10.