Gulf Coast Pain Consultants LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

GULF COAST PAIN CONSULTANTS LLC

Practice address

855 Downtowner Blvd
Mobile, AL 36609-5403

Phone

(850) 484-4080

Fax

(850) 484-8801

NPI assigned

Jun 11, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kacey A Montgomery, MD

Title

Medical Director

Phone

(850) 791-6895

Specialties & licenses 3

Addresses

Other names 1

• Clearway Pain Solutions Institute Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1134788359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 DEFENSE HWY STE 205",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017096",
            "telephone_number": "855-527-7246",
            "fax_number": "833-810-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 DOWNTOWNER BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366095403",
            "telephone_number": "850-484-4080",
            "fax_number": "850-484-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST PAIN CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-11",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "KACEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "850-791-6895",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clearway Pain Solutions Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clearway Pain Solutions Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gulf Coast Homecare LLC Dba Firstlight Homecare of Mobile Eastern Shor
• Gulf Coast Interventional Spine & Joint Specialists LLC
• Gulf Coast Medicine LLC
• Gulf Coast Mens Clinic
• Gulf Coast Optometry
• Gulf Coast Patient Care Network, Inc
• Gulf Coast Pediatrics, LLC
• Gulf Coast Pharmacy LLC
• Gulf Coast Psychiatry LLC
• Gulf Coast Rehab Equipment Inc

• Pain Medicine (Anesthesiology) Physician in Mobile, AL
• Providers in Mobile, AL by specialty
• Pain Medicine (Anesthesiology) Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.