Active NPI
Colin Lee Gallien, APRN
- Nurse Practitioner
- Panama City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11006272
- Practice address
- 25 Doctors Dr.
Medical Plaza 2
Panama City, FL 32405-4520 - Phone
- (850) 767-2455
- Fax
- (850) 767-2790
- NPI assigned
- Feb 24, 2020
- Last updated
- Nov 29, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11006272 | FL | Primary |
Addresses
Primary practice location
25 Doctors Dr.
Medical Plaza 2
Panama City, FL 32405-4520
Mailing address
PO Box 370
Fortson, GA 31808-0370
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25 Doctors Dr
Panama City, FL 32405-4520
Phone (850) 767-2455
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hughston Clinic Southeast PC | Current | Accepting new patients | |
| Hughston Clinic Southeast PC | Current | Accepting new patients |
Locations
341 Racetrack Rd NW
Ste B
Fort Walton Beach, FL 32547
Phone (850) 226-8112
1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610
25 Doctors Dr
Panama City, FL 32405
Phone (850) 763-9523
25 Doctors Dr
#2
Panama City, FL 32405
Phone (850) 767-2455
Interoperability endpoints
- colin.gallien.1@321.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Durable Medical Equipment & Medical Supplies
- Nashville, TN
- NPI 1770004863
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Centerwell Home Health
- Home Health Agency
- Panama City, FL
- NPI 1083648950
-
dba HCA Florida Gulf Coast Hospital
- General Acute Care Hospital
- Panama City, FL
- NPI 1699721589
-
dba Enhabit Home Health
- Home Health Agency
- Panama City, FL
- NPI 1518916659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669680000000",
"number": "1881228476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 370",
"city": "FORTSON",
"state": "GA",
"postal_code": "318080370",
"fax_number": "706-494-3008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 DOCTORS DR.",
"address_2": "MEDICAL PLAZA 2",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054520",
"telephone_number": "850-767-2455",
"fax_number": "850-767-2790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLIEN",
"first_name": "COLIN",
"middle_name": "LEE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-24",
"last_updated": "2022-11-29",
"certification_date": "2022-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11006272",
"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 Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.