NPIMap

Organization Active NPI

Gulf Coast Pain Consultants LLC

Doing business as Clearway Pain Solutions Institute

  • Interventional Pain Medicine Physician
  • Pensacola, FL
National Provider Identifier
1669712287
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
GULF COAST PAIN CONSULTANTS LLC
Doing business as
Clearway Pain Solutions Institute
Practice address
4901 Market Place Rd
Pensacola, FL 32504-8986
Phone
(855) 527-7246
Fax
(833) 810-1165
NPI assigned
Feb 19, 2013
Last updated
Jul 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Authorized official

Name
Kacey A Montgomery, M.D.NPI 1447455977
Title
Regional Medical Director
Phone
(850) 791-6895

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

4901 Market Place Rd
Pensacola, FL 32504-8986

Mailing address

201 Defense Hwy Ste 205
Annapolis, MD 21401-7096
Phone (855) 527-7246

Other practice location 1

5219 E State Road 64
Bradenton, FL 34208-5533
Phone (855) 527-7246

Other practice location 2

6600 University Pkwy Ste 104
Sarasota, FL 34240-9040
Phone (855) 527-7246

Other practice location 3

408 Medical Park Dr
Atmore, AL 36502-3016
Phone (855) 527-7246

Other practice location 4

1005 College Blvd W Ste C
Niceville, FL 32578-1060
Phone (855) 527-7246

Other practice location 5

135 Medical Park Dr Ste 2B
Andalusia, AL 36420-5352
Phone (855) 527-7246

Other practice location 6

42 Business Centre Dr Unit 310
Miramar Beach, FL 32550-6995
Phone (855) 527-7246

Other practice location 7

4415 US Highway 331 S Ste 500
Defuniak Springs, FL 32435-6307
Phone (855) 527-7246

Other practice location 8

2507 Harrison Ave Unit 200
Panama City, FL 32405-4447
Phone (855) 527-7246

Other practice location 9

918 Mar Walt Dr
Fort Walton Beach, FL 32547-6706
Phone (855) 527-7246

Other practice location 10

10437 Sorrento Rd Ste 203
Pensacola, FL 32507-7620
Phone (855) 527-7246

Other practice location 11

182 E Redstone Ave Ste A
Crestview, FL 32539-5371
Phone (855) 527-7246

Other practice location 12

7552 Navarre Pkwy Unit 54
Navarre, FL 32566-7305
Phone (855) 527-7246

Other practice location 13

3810 Highway 90
Pace, FL 32571-1014
Phone (855) 527-7246

Other practice location 14

4901 Grande Dr Ste A
Pensacola, FL 32504-5936
Phone (855) 527-7246

Other names 1

  • Clearway Pain Solutions Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20130326000183 FL Part B Supplier - Clinic/Group Practice 1658516570 Receives reassigned benefits from 50 practitioners
4 other NPIs on this enrollment
Practice locations: Niceville, FL; Sarasota, FL; Pensacola, FL; Panama City, FL; Pace, FL; Navarre, FL; Fort Walton Beach, FL; Defuniak Springs, FL…
O20130917000321 FL DME Supplier - Multi-Specialty - PhysicianDME Supplier - Physician - Physical and Rehabilitation 1658516570 Practice locations: Pensacola, FL
O20131118000963 AL Part B Supplier - Clinic/Group Practice 1658516570 Receives reassigned benefits from 25 practitioners
1 other NPI on this enrollment
Practice locations: Andalusia, AL; Atmore, AL

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2169888Gulf Coast Pain Consultants LLC182A E Redstone Ave, Crestview, FL 32539Certificate of waiverJul 29, 2027
10D2319478Gulf Coast Pain Consultants LLC42 Business Centre Dr Unit 310, Miramar Beach, FL 32550Certificate of waiverFeb 27, 2027
10D2323887Gulf Coast Pain Consultants, LLC6600 University Pkwy, Suite 104, Sarasota, FL 34240Certificate of waiverMay 14, 2027
10D2334659Gulf Coast Pain Consultants LLC1005 College Blvd W Suite C, Niceville, FL 32578Certificate of waiverNov 24, 2027

National Provider Directory

National Provider Directory

Locations

135 Medical Park Dr
Andalusia, AL 36420
Phone (334) 222-6959

135 Medical Park Dr
#2B
Andalusia, AL 36420

135 Medical Park Dr
Ste 2B
Andalusia, AL 36420
Phone (850) 753-8075

855 Downtowner Blvd
Ste B
Mobile, AL 36609

150 E Redstone Ave
Ste A
Crestview, FL 32539
Phone (850) 689-8004

180 E Redstone Ave
#B
Crestview, FL 32539

180 E Redstone Ave
Bldg 1B
Crestview, FL 32539

180 E Redstone Ave
Ste A
Crestview, FL 32539

918 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 862-3127

208 Mary Esther Blvd
Ste 1
Mary Esther, FL 32569

3810 Highway 90
#A
Milton, FL 32571

1600 Jenks Ave
Ste 1
Panama City, FL 32405
Phone (855) 524-7246

10437 Sorrento Rd
Pensacola, FL 32507

201 Defense Hwy
Ste 201
Annapolis, MD 21401

Practitioners & affiliated clinicians

Practitioners 50

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.

View all 50

NPI Registry JSON

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

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1669712287",
    "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": "4901 MARKET PLACE RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048986",
            "telephone_number": "855-527-7246",
            "fax_number": "833-810-1165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5219 E State Road 64",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342085533",
            "country_code": "US",
            "telephone_number": "855-527-7246",
            "fax_number": "833-905-2461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6600 University Pkwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342409040",
            "country_code": "US",
            "telephone_number": "855-527-7246",
            "fax_number": "833-905-2461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "408 Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Atmore",
            "state": "AL",
            "postal_code": "365023016",
            "country_code": "US",
            "telephone_number": "855-527-7246",
            "fax_number": "833-905-2461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1005 College Blvd W Ste C",
            "address_purpose": "LOCATION",
            "city": "Niceville",
            "state": "FL",
            "postal_code": "325781060",
            "country_code": "US",
            "telephone_number": "855-527-7246",
            "fax_number": "833-905-2461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "135 Medical Park Dr Ste 2B",
            "address_purpose": "LOCATION",
            "city": "Andalusia",
            "state": "AL",
            "postal_code": "364205352",
            "country_code": "US",
            "telephone_number": "855-527-7246",
            "fax_number": "833-905-2461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "42 Business Centre Dr Unit 310",
            "address_purpose": "LOCATION",
            "city": "Miramar Beach",
            "state": "FL",
            "postal_code": "325506995",
            "country_code": "US",
            "telephone_number": "855-527-7246",
            "fax_number": "833-905-2461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4415 US Highway 331 S Ste 500",
            "address_purpose": "LOCATION",
            "city": "Defuniak Springs",
            "state": "FL",
            "postal_code": "324356307",
            "country_code": "US",
            "telephone_number": "855-527-7246",
            "fax_number": "833-905-2461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2507 Harrison Ave Unit 200",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "324054447",
            "country_code": "US",
            "telephone_number": "855-527-7246",
            "fax_number": "866-229-5063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "918 Mar Walt Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325476706",
            "country_code": "US",
            "telephone_number": "855-527-7246",
            "fax_number": "833-905-2461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10437 Sorrento Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325077620",
            "country_code": "US",
            "telephone_number": "855-527-7246",
            "fax_number": "833-810-1165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "182 E Redstone Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Crestview",
            "state": "FL",
            "postal_code": "325395371",
            "country_code": "US",
            "telephone_number": "855-527-7246",
            "fax_number": "833-810-1165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7552 Navarre Pkwy Unit 54",
            "address_purpose": "LOCATION",
            "city": "Navarre",
            "state": "FL",
            "postal_code": "325667305",
            "country_code": "US",
            "telephone_number": "855-527-7246",
            "fax_number": "833-810-1165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3810 Highway 90",
            "address_purpose": "LOCATION",
            "city": "Pace",
            "state": "FL",
            "postal_code": "325711014",
            "country_code": "US",
            "telephone_number": "855-527-7246",
            "fax_number": "833-810-1165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4901 Grande Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325045936",
            "country_code": "US",
            "telephone_number": "855-527-7246",
            "fax_number": "833-905-2461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GULF COAST PAIN CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-19",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "KACEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "REGIONAL MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "850-791-6895",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clearway Pain Solutions Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.