Dr. John Dale Carlson , MD
Specialist • Crestview, FL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Carlson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. John Carlson, MD was a registered Specialist practicing in Crestview, FL. Throughout an active medical career spanning 20 years, Dr. Carlson provided care at the practice location at 492 N WILSON ST until profile deactivation on 2026-03-26.
Practice Location & Contact Primary Location
492 N Wilson St
Crestview, FL 325363442
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Crestview, FL
Practicing in Crestview, FL (3036 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Social Worker
Licensed Clinical Social Worker
Specialist
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on March 26, 2026
NPI status registered as active in NPPES database
Registered at 492 N WILSON ST, CRESTVIEW, FL 325363442 (Tel: 8506825332)
Registered at 205 W PINE AVE, CRESTVIEW, FL 325363423 (Tel: 8506825332)
Recorded as JOHN CARLSON, MD
Specialist (License #ME0051484 in FL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
205 W Pine Ave
Crestview, FL 325363423
Phone: 8506825332
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