Active NPI
Acille Adhal, M.D.
- Pediatrics Physician
- Panama City, FL
National Provider Identifier
1659563591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 111128
- Practice address
- 102 Medical Center Dr
Panama City, FL 32405-4907 - Phone
- (850) 913-1666
- NPI assigned
- Aug 14, 2007
- Last updated
- Mar 17, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | TRN11605 | FL | |
| Pediatrics Physician | 208000000X | 111128 | FL | Primary |
Addresses
Primary practice location
102 Medical Center Dr
Panama City, FL 32405-4907
Mailing address
102 Medical Center Dr
Panama City, FL 32405-4907
Phone (850) 913-1666
Other practice location 1
2 Columbia Dr
J402
Tampa, FL 33606-3508
Phone (813) 844-7412
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111128 | FL | MD | Pediatrics Physician |
| TRN11605 | FL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Clinic of Pediatrics & Gi Medicine, Inc. | Pediatrics | Current | Accepting new patients |
Locations
102 Medical Center Dr
Panama City, FL 32405
Phone (850) 913-1666
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Panama City, FL
- NPI 1326159310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742169600000",
"number": "1659563591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 MEDICAL CENTER DR",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054907",
"telephone_number": "850-913-1666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 MEDICAL CENTER DR",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054907",
"telephone_number": "850-913-1666"
}
],
"practiceLocations": [
{
"address_1": "2 Columbia Dr",
"address_2": "J402",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336063508",
"country_code": "US",
"telephone_number": "813-844-7412",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ADHAL",
"first_name": "ACILLE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-14",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "TRN11605",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "111128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.