Organization Active NPI

Consult Care Pain Medicine P a.

  • Interventional Pain Medicine Physician
  • Panama City, FL
National Provider Identifier
1679783948
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME87428 Issued in FL
Legal business name
CONSULT CARE PAIN MEDICINE P A.
Practice address
501 Airport Rd
Panama City, FL 32405-4010
Phone
(850) 913-9488
Fax
(850) 522-9443
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Authorized official

Name
Dr. Ata Ul Mohsin, M.D.NPI 1841217684
Title
M.D Owner
Phone
(850) 913-9488

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 ME87428 FL Primary

Addresses

Primary practice location

501 Airport Rd
Panama City, FL 32405-4010

Mailing address

P.O. Box 15547
Panama City, FL 32401
Phone (850) 913-9488

Other identifiers 1

IdentifierTypeStateIssuer
266908100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080911000610 FL Part B Supplier - Clinic/Group Practice 6709952955 Receives reassigned benefits from 1 practitioner
Practice locations: Panama City, FL
O20190708000874 FL DME Supplier - Physician - General Practice 6709952955 Practice locations: Panama City, FL

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
10D1084264Consult Care Pain Medicine PA501 Airport Rd, Panama City, FL 32405AccreditationDec 9, 2026

National Provider Directory

National Provider Directory

Locations

501 Airport Rd
Unit A
Panama City, FL 32405
Phone (850) 913-9488

501 Airport Rd
Panama City, FL 32405
Phone (850) 866-5356

340 W 23rd St
Panama City, FL 32405
Phone (850) 215-3911

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317081600000",
    "number": "1679783948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 15547",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "32401",
            "telephone_number": "850-913-9488",
            "fax_number": "850-522-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 AIRPORT RD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054010",
            "telephone_number": "850-913-9488",
            "fax_number": "850-522-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSULT CARE PAIN MEDICINE P A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2011-09-27",
        "status": "A",
        "authorized_official_last_name": "MOHSIN",
        "authorized_official_first_name": "ATA",
        "authorized_official_middle_name": "UL",
        "authorized_official_title_or_position": "M.D OWNER",
        "authorized_official_telephone_number": "850-913-9488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME87428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266908100",
            "state": "FL"
        }
    ],
    "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 Sep 27, 2011; 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.