NPIMap

Individual provider Active NPI

Liaqat Hayat, MD

  • General Practice Physician
  • Panama City, FL
National Provider Identifier
1326141920
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME84233 Issued in FL
Practice address
2202 State Ave
103
Panama City, FL 32405-7601
Phone
(850) 522-1082
Fax
(850) 522-0184
NPI assigned
Sep 7, 2006
Last updated
Dec 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME84233 FL Primary

Addresses

Primary practice location

2202 State Ave
103
Panama City, FL 32405-7601

Mailing address

PO Box 1317
Lynn Haven, FL 32444-6117
Phone (850) 522-0182

Other identifiers 1

IdentifierTypeStateIssuer
277069500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070227000084 FL Practitioner - Internal MedicinePractitioner - Geriatric Medicine 9032211784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians

Practice addresses (Care Compare)

237 E Baldwin Rd
Suite 102
Panama City, FL 32405-4463
Phone (850) 522-0182

6012 Magnolia Beach Rd
Panama City, FL 32408-7065
Phone (850) 230-1802

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Medical and Geriatric Clinic Inc CurrentSince Oct 1, 2006 Accepting new patients
Primary Care Inc Past Accepting new patients

Locations

2202 State Ave
Ste 103
Panama City, FL 32405
Phone (850) 522-0182

237 E Baldwin Rd
Ste 102
Panama City, FL 32405
Phone (850) 522-0182

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1326141920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1317",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324446117",
            "telephone_number": "850-522-0182",
            "fax_number": "850-522-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 STATE AVE",
            "address_2": "103",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324057601",
            "telephone_number": "850-522-1082",
            "fax_number": "850-522-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYAT",
        "first_name": "LIAQAT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME84233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277069500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.