Northwest Florida a S C LP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

952 Issued in FL

Legal business name

NORTHWEST FLORIDA A S C LP

Practice address

204B E 19TH St
Panama City, FL 32405-4707

Phone

(850) 769-7599

Fax

(850) 769-7389

NPI assigned

Jan 20, 2006

Organization subpart

No

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

Authorized official

Name

Kellee Manning

Title

Administrator

Phone

(850) 769-7599

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Northwest Florida Gastroenterology Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Listed as

Northwest Florida Gastroenterology CenterCCN 10C0001190

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 6

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

• Rafael Antonio Ching Companioni, M.D.

  • Gastroenterology Physician
  • Panama City, FL
  • NPI 1396090940
  NPD (past)
• Robert Finlaw, M.D

  • Specialist
  • Panama City, FL
  • NPI 1093744310
  NPD (past)
• Shilpa Reddy, D.O.

  • Internal Medicine Physician
  • Panama City, FL
  • NPI 1114071412
  NPD (past)
• Sudhakar Reddy, M.D

  • Gastroenterology Physician
  • St. Cloud, FL
  • NPI 1295763753
  NPD (past)
• Christopher D Wells, M.D.

  • Gastroenterology Physician
  • Panama City, FL
  • NPI 1285618454
  NPD (past)
• Chan-Chou Chuang, M.D., FCCP, FACP

  • Critical Care Medicine (Internal Medicine) Physician
  • Rancho Palos Verdes, CA
  • NPI 1073589248
  NPD (past)

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783641600000",
    "number": "1992785232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204B E 19TH ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054707",
            "telephone_number": "850-769-7599",
            "fax_number": "850-215-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204B E 19TH ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054707",
            "telephone_number": "850-769-7599",
            "fax_number": "850-769-7389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST FLORIDA A S C LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-20",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A",
        "authorized_official_last_name": "MANNING",
        "authorized_official_first_name": "KELLEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "850-769-7599"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079136900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P000962901",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Florida Gastroenterology Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northwest Florida Gastroenterology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• North Florida Surgeons, PA
• North Florida Surgeons, PA
• North Florida Surgeons, PA
• Vickie North, M.ED.
• Northland Hearing Centers Inc
• Northwest Florida Surgery Center, LLC
• Andrew W Norton, DMD
• Sarah Novak
• Bethany Parker Nowak, CRNA
• Nathan A Nowak, M.D.

• Ambulatory Surgical Clinic/Center in Panama City, FL
• Providers in Panama City, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.