GULF COAST ADDICTION MEDICINE
NPI 1407301757
Community/Behavioral Health in Panama City, FL
NPI Status: Active since August 16, 2016
Contact Information
277 FOREST PARK CIR
PANAMA CITY, FL
ZIP 32405
Phone: (850) 522-1516
Fax: (850) 522-1518
- Organization
- Community/Behavioral Health
- CLIA Number: 10D2002237
- CLIA Cert. Type: Comp. Outpatient Rehab Facility
- CLIA Exp. Date: 01-10-2026
About GULF COAST ADDICTION MEDICINE
This page provides the complete NPI Profile along with additional information for Gulf Coast Addiction Medicine, a provider established in Panama City, Florida operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1407301757 assigned on August 2016. The practitioner's primary taxonomy code is 251S00000X with license number 0301 (FL). The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Jennifer Burkett (Office Manager)
- NPI
- 1407301757
- Provider Name
- GULF COAST ADDICTION MEDICINE
- Entity Type
- Organization
- Location Address
- 277 FOREST PARK CIR PANAMA CITY, FL 32405
- Location Phone
- (850) 522-1516
- Location Fax
- (850) 522-1518
- Mailing Address
- 277 FOREST PARK CIR PANAMA CITY, FL 32405
- Mailing Phone
- (850) 522-1516
- Mailing Fax
- (850) 522-1518
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-16-2016
- Last Update Date
- 07-21-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- License No.
- 0301
- License State
- FL
- Taxonomy Description
- A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2002237
- Facility Type
- Comp. Outpatient Rehab Facility
- Certificate Effective Date
- January 11, 2024
- Certificate Expiration Date
- January 10, 2026
- Laboratory Director
- PAUL D. CASSIDY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Gulf Coast Addiction Medicine to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for GULF COAST ADDICTION MEDICINE
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 0 | 7 | 3 | 0 | 1 | 7 | 5 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 0 | 7 | 6 | 0 | 2 | 7 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 0 + 7 + 6 + 0 + 2 + 7 + 1 + 0 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1407301757 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1801124805 | ACCESS RECOVERY SOLUTIONS, LLC Organization | Clinic/Center (Rehabilitation, Substance Use Disorder) | 277 FOREST PARK CIR PANAMA CITY, FL 32405 (850) 522-1516 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407301757, enumerated in the NPI registry as an "organization" on August 16, 2016
The provider is located at 277 Forest Park Cir Panama City, Fl 32405 and the phone number is (850) 522-1516
This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X
The provider's CLIA number is 10D2002237 for a "comp. outpatient rehab facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on August 16, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.