NPIMap

Organization Active NPI

Northwest Florida a S C LP

Doing business as Northwest Florida Gastroenterology Center

  • Ambulatory Surgical Clinic/Center
  • Panama City, FL
National Provider Identifier
1992785232
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
952 Issued in FL
Legal business name
NORTHWEST FLORIDA A S C LP
Doing business as
Northwest Florida Gastroenterology Center
Practice address
204B E 19TH St
Panama City, FL 32405-4707
Phone
(850) 769-7599
Fax
(850) 769-7389
NPI assigned
Jan 20, 2006
Last updated
Jul 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 952 FL Primary

Addresses

Primary practice location

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

Mailing address

204B E 19TH St
Panama City, FL 32405-4707
Phone (850) 769-7599

Other names 1

  • Northwest Florida Gastroenterology Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031216000745 FL Part B Supplier - Ambulatory Surgical Center 5890692016 Practice locations: Panama City, FL

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Northwest Florida Gastroenterology CenterCCN 10C0001190
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

204B E 19th St
Panama City, FL 32405
Phone (850) 769-7599

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "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"
        }
    ]
}

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 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.