Kongsak Chantornsaeng, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME86600 Issued in FL

Practice address

4126 Independent Drive
Panama City, FL 32448-7993

Phone

(850) 394-4907

NPI assigned

May 11, 2006

Last updated

Jun 1, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal MedicineAlso: Endocrinology, Geriatric Medicine

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwest Florida Healthcare, Inc.Group PAC ID 2668363771, 37 clinicians

Pancare of Florida, IncGroup PAC ID 3476574229, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwest Florida Community Hospital Hospital, Chipley, FL, CCN 101308

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10590/brand/1/csg/1/fhir/r4
• Direct secure messaging: kongsak.chantornsaeng.1@10590.direct.athenahealth.com

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.

• Northwest Florida Healthcare, Inc

  • Critical Access Hospital
  • Chipley, FL
  • NPI 1336163708
  Medicare reassignment Care Compare group NPD
• Pancare of Florida, Inc

  • Federally Qualified Health Center (FQHC)
  • Panama City, FL
  • NPI 1366456287
  Medicare reassignment Care Compare group NPD
• Emerald Waters Medical Clinic LLC

  • Nurse Practitioner
  • Niceville, FL
  • NPI 1306192216
  Medicare reassignment NPD
• Florida Department of Children and Families

  dba Florida State Hospital-Unit 31

  • General Acute Care Hospital
  • Chattahoochee, FL
  • NPI 1710945118
  Medicare reassignment NPD
• Holmes County Hospital Corp

  dba Doctors Memorial Hospital

  • Critical Access Hospital
  • Bonifay, FL
  • NPI 1366431702
  Medicare reassignment NPD
• Florida Department of Health

  dba Jackson County Health Department

  • Public Health or Welfare Agency
  • Marianna, FL
  • NPI 1487724969
  Medicare reassignment
• Florida Department of Children and Families

  dba Northeast Florida State Hospital

  • Psychiatric Hospital
  • Macclenny, FL
  • NPI 1013931765
  NPD
• Florida Department of Children and Families

  dba Florida State Hospital

  • Psychiatric Hospital
  • Chattahoochee, FL
  • NPI 1578895470
  NPD
• Holmes County Hospital Corp

  dba Bonifay Rural Health Clinic

  • Rural Health Clinic/Center
  • Bonifay, FL
  • NPI 1952917015
  NPD
• Northwest Florida Healthcare, Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Chipley, FL
  • NPI 1659438760
  NPD
• Northwest Florida Healthcare, Inc.

  dba Vernon Clinic-NFCH

  • General Practice Physician
  • Vernon, FL
  • NPI 1912287939
  NPD
• Pancare of Florida, Inc

  • Community/Retail Pharmacy
  • Panama City, FL
  • NPI 1336704196
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northwest Florida Healthcare, Inc

  • Critical Access Hospital
  • Chipley, FL
  • NPI 1336163708
  Care Compare affiliation

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1942250659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 E 11TH ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013409",
            "telephone_number": "185-074-7559",
            "fax_number": "850-279-6771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4126 INDEPENDENT DRIVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324487993",
            "telephone_number": "850-394-4907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANTORNSAENG",
        "first_name": "KONGSAK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME86600",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME86600",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME86600",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME86600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Jaquise Chambers
• Melissa Anne Chambers, LMHC MH 18433; MS
• Cesar A. Chan Jr., M.D.
• Beverly H Chandler, ARNP
• Aldorian Chaney, M.D.
• Jennifer Ann Chapman, APRN
• Samantha Kelli Chapman
• Crystal Lin Chason
• Nadra Chaudhary, MD
• Mubashir A. Chaudhry, D.M.D.

• Family Medicine Physician in Panama City, FL
• Providers in Panama City, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.

Verify at the official NPI Registry.