Individual provider Active NPI

Matthew Welch, MD

  • Primary Care Clinic/Center
  • Panama City Beach, FL
National Provider Identifier
1508228925
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ACN1130 Issued in FL
Practice address
2601 Thomas Dr
Panama City Beach, FL 32408
Phone
(850) 588-5835
Fax
(850) 588-5837
NPI assigned
Mar 24, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ACN1130 FL Primary

Addresses

Primary practice location

2601 Thomas Dr
Panama City Beach, FL 32408

Mailing address

2601 Thomas Dr
Panama City Beach, FL 32408-6246
Phone (850) 588-5835

Other practice location 1

3607 Roche Ave
Vernon, FL 32462-3358
Phone (850) 535-2321

Other practice location 2

3607 Roche Ave
Vernon, FL 32462
Phone (850) 535-2321

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190611000698 FL Practitioner - Family Practice 1850689522 Practice locations: Vernon, FL; Panama City Beach, FL

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2601 Thomas Dr
Panama City Beach, FL 32408-6246
Phone (850) 588-5835

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACN1130FLMDPrimary Care Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Mason Carnley FNP-C, LLC Past Accepting new patients
Samuel E Ward MD PL PastSince Sep 17, 2023 Accepting new patients

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1508228925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 THOMAS DR",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324086246",
            "telephone_number": "850-588-5835",
            "fax_number": "850-588-5837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 THOMAS DR",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "32408",
            "telephone_number": "850-588-5835",
            "fax_number": "850-588-5837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3607 Roche Ave",
            "address_purpose": "LOCATION",
            "city": "Vernon",
            "state": "FL",
            "postal_code": "324623358",
            "country_code": "US",
            "telephone_number": "850-535-2321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3607 Roche Ave",
            "address_purpose": "LOCATION",
            "city": "Vernon",
            "state": "FL",
            "postal_code": "32462",
            "country_code": "US",
            "telephone_number": "850-535-2321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELCH",
        "first_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-24",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ACN1130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City Beach, FL

Sources for this page

Verify at the official NPI Registry.