Organization Active NPI

New Way Med Spa, LLC

Doing business as Elysian Med Spa

  • Family Nurse Practitioner
  • Panama City Beach, FL
National Provider Identifier
1164319349
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
NEW WAY MED SPA, LLC
Doing business as
Elysian Med Spa
Practice address
312 Thomas Dr
Panama City Beach, FL 32408-4902
Phone
(850) 775-4498
Fax
(850) 775-4247
NPI assigned
Jun 20, 2025
Last updated
Sep 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Authorized official

Name
Karen Tayes, APRNNPI 1831709245
Title
Owner
Phone
(850) 775-4498

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary
Women's Health Nurse Practitioner 363LW0102X NU

Addresses

Primary practice location

312 Thomas Dr
Panama City Beach, FL 32408-4902

Mailing address

312 Navy Blvd
Panama City Beach, FL 32408-4902
Phone (850) 775-4498

Other names 1

  • Elysian Med Spa Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250926000662 FL Part B Supplier - Clinic/Group Practice 8527563865 Receives reassigned benefits from 2 practitioners
Practice locations: Panama City Beach, FL

National Provider Directory

National Provider Directory

Locations

312 Navy Blvd
Panama City Beach, FL 32408
Phone (850) 775-4498

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1750377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758844800000",
    "number": "1164319349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 NAVY BLVD",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324084902",
            "telephone_number": "850-775-4498",
            "fax_number": "850-775-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 THOMAS DR",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324084902",
            "telephone_number": "850-775-4498",
            "fax_number": "850-775-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW WAY MED SPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-20",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A",
        "authorized_official_last_name": "TAYES",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-775-4498",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elysian Med Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Panama City Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.