CLEARWAY PAIN SOLUTIONS INSTITUTE
NPI 1134788359
Anesthesiology - Pain Medicine in Mobile, AL

NPI Status: Active since June 11, 2019

Contact Information

855 DOWNTOWNER BLVD
MOBILE, AL
ZIP 36609
Phone: (850) 484-4080
Fax: (850) 484-8801

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  • Organization
  • Anesthesiology
  • Pain Medicine
  • CLIA Number: 21D2122508
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-29-2026

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 Mobile, Alabama operating as a Anesthesiology, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1134788359 assigned on June 2019. The practitioner's primary taxonomy code is 207LP2900X. 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
1134788359
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
855 DOWNTOWNER BLVD MOBILE, AL 36609
Location Phone
(850) 484-4080
Location Fax
(850) 484-8801
Mailing Address
201 DEFENSE HWY STE 205 ANNAPOLIS, MD 21401
Mailing Phone
(855) 527-7246
Mailing Fax
(850) 484-8801
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-11-2019
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

Anesthesiology Pain Medicine

Taxonomy Code
207LP2900X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

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)
1111NR0400XChiropractic Providers

Chiropractor
Rehabilitation

 
2261QA1903XAmbulatory Health Care Facilities

Clinic/Center
Ambulatory Surgical

 

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
21D2122508
Facility Type
Physician Office
Certificate Effective Date
November 30, 2024
Certificate Expiration Date
November 29, 2026
Laboratory Director
DAMEAN FREAS
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 1134788359, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
3
Doubled → 6
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
8
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
3
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
9
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 3 → 6 7 → 14 → 5 8 → 16 → 7 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 6 + 4 + 1 + 4 + 8 + 1 + 6 + 3 + 1 + 0 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1134788359.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
855 DOWNTOWNER BLVD
MOBILE, AL 36609
Anesthesiology
855 DOWNTOWNER BLVD
MOBILE, AL 36609
Nurse Practitioner (Gerontology)
855 DOWNTOWNER BLVD
MOBILE, AL 36609
Durable Medical Equipment & Medical Supplies
855 DOWNTOWNER BLVD
MOBILE, AL 36609
Nurse Practitioner (Family)
855 DOWNTOWNER BLVD
MOBILE, AL 36609

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134788359, enumerated as an "organization" on June 11, 2019.

The provider is located at 855 DOWNTOWNER BLVD MOBILE, AL 36609 and the phone number is (850) 484-4080.

Anesthesiology with taxonomy code 207LP2900X and a focus in Pain Medicine.