Active NPI
Samy Tawfik, M.D.
- Psychiatry Physician
- Panama City Beach, FL
National Provider Identifier
1760441133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 22562
- Practice address
- 140 N Richard Jackson Blvd
Panama City Beach, FL 32407-2562 - Phone
- (508) 636-7000
- NPI assigned
- Mar 22, 2006
- Last updated
- Apr 22, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 22562 | SC | Primary |
Addresses
Primary practice location
140 N Richard Jackson Blvd
Panama City Beach, FL 32407-2562
Mailing address
2200 W 33Rd St
Panama City, FL 32405-1902
Phone (803) 361-4676
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 225624 | Medicaid | SC |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22562 | SC | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713744000000",
"number": "1760441133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 W 33RD ST",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324051902",
"telephone_number": "803-361-4676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 N RICHARD JACKSON BLVD",
"city": "PANAMA CITY BEACH",
"state": "FL",
"postal_code": "324072562",
"telephone_number": "508-636-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAWFIK",
"first_name": "SAMY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-22",
"last_updated": "2024-04-22",
"certification_date": "2024-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "SC",
"license": "22562",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "225624",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Panama City Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.