PAIN CLINIC OF NORTHWEST FL, INC
NPI 1225244395
Specialist in Marianna, FL

Q: What is Pain Clinic Of Northwest Fl, Inc's NPI number?

The NPI number for Pain Clinic Of Northwest Fl, Inc is 1225244395. It was assigned to this organization in the NPPES registry on May 15, 2007.

Q: What is Pain Clinic Of Northwest Fl, Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since May 15, 2007CLIA 10D1091404 · Waiver

4284 KELSON AVE, MARIANNA, FL 32446(850) 784-2477(850) 784-6848 Get Directions Write a Review

NPPES record last updated: January 3, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Pain Clinic Of Northwest Fl, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAIN CLINIC OF NORTHWEST FL, INC (NPI 1225244395) is a healthcare organization registered as a specialist in Marianna, Florida and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through October 30, 2026 and lists Robert J Joseph, President, as its authorized official.

NPPES Registry Identity

NPI1225244395

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NamePAIN CLINIC OF NORTHWEST FL, INC

Location Address4284 KELSON AVEMarianna, FL 32446

Mailing Address2250 Harrison AvePanama City, FL 32405 · (850) 784-2477 · Fax (850) 784-6848

Phone(850) 784-2477

Fax(850) 784-6848

Organization SubpartNo

Authorized OfficialRobert J JosephPresident · (850) 784-2477

Enumeration DateMay 15, 2007

Last NPPES UpdateJanuary 3, 2012

✔ NPI 1225244395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

4284 KELSON AVE, Marianna, FL 32446

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Other Identifiers 4

Other3857260001FL · Dmerc Ptan

Medicaid2680076 01FL

Medicare ID-Type UnspecifiedK2846FL · Group Id Number

OtherCM7126FL · Rrb Ptan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1091404

Pain Clinic Of Northwest Florida Inc · Panama City, FL

Active · expires Oct 30, 2026

CLIA Number10D1091404

Laboratory TypePhysician Office

Certificate Effective DateOctober 31, 2024

Certificate Expiration DateOctober 30, 2026

Laboratory DirectorJoseph J. Robert

Laboratory Phone(850) 784-2477

Laboratory LocationPain Clinic Of Northwest Florida Inc2250 Harrison Ave, Panama City, FL 32405

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. STEPHEN TRACY MEARS ARNP

Nurse Practitioner