CLEARWAY PAIN SOLUTIONS INSTITUTE
NPI 1104278902
Durable Medical Equipment & Medical Supplies in Pace, FL

NPI Status: Active since July 06, 2016

Contact Information

3810 HIGHWAY 90
PACE, FL
ZIP 32571
Phone: (850) 484-4080

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • CLIA Number: 10D2106854
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-29-2025

About CLEARWAY PAIN SOLUTIONS INSTITUTE

This page provides the complete NPI Profile along with additional information for Clearway Pain Solutions Institute, a provider established in Pace, Florida operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1104278902 assigned on July 2016. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Clearway Pain Solutions Institute operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Clearway Pain Solutions Institute. The authorized official of this NPI record is Kacey A Montgomery Md (Medical Director)

NPI
1104278902
Provider Legal Name
GULF COAST PAIN CONSULTANTS LLC
Other Organization Name
CLEARWAY PAIN SOLUTIONS INSTITUTE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3810 HIGHWAY 90 PACE, FL 32571
Location Phone
(850) 484-4080
Mailing Address
201 DEFENSE HWY STE 205 ANNAPOLIS, MD 21401
Mailing Phone
(855) 527-7246
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-06-2016
Last Update Date
01-31-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207LP2900XAllopathic & Osteopathic Physicians

Anesthesiology
Pain Medicine

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KACEY A MONTGOMERY MD

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(850) 791-6895

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2106854
Facility Type
Physician Office
Certificate Effective Date
December 30, 2023
Certificate Expiration Date
December 29, 2025
Laboratory Director
SUSAN BELCHER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Clearway Pain Solutions Institute to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104278902, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
2
Doubled → 4
Pos 6
7
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
9
Unchanged
Pos 9
0
Doubled → 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 2 → 4 8 → 16 → 7 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 4 + 7 + 1 + 6 + 9 + 0 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1104278902.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse Practitioner (Family)
3810 HIGHWAY 90
PACE, FL 32571

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104278902, enumerated as an "organization" on July 06, 2016.

The provider is located at 3810 HIGHWAY 90 PACE, FL 32571 and the phone number is (850) 484-4080.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.