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

NPI Status: Active since May 15, 2007

Contact Information

4284 KELSON AVE
MARIANNA, FL
ZIP 32446
Phone: (850) 784-2477
Fax: (850) 784-6848

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  • Organization
  • Specialist
  • CLIA Number: 10D1091404
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-30-2026

About PAIN CLINIC OF NORTHWEST FL, INC

This page provides the complete NPI Profile along with additional information for Pain Clinic Of Northwest Fl, Inc, a provider established in Marianna, Florida operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1225244395 assigned on May 2007. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Robert J Joseph M.d. (President)

NPI
1225244395
Provider Name
PAIN CLINIC OF NORTHWEST FL, INC
Entity Type
Organization
Location Address
4284 KELSON AVE MARIANNA, FL 32446
Location Phone
(850) 784-2477
Location Fax
(850) 784-6848
Mailing Address
2250 HARRISON AVE PANAMA CITY, FL 32405
Mailing Phone
(850) 784-2477
Mailing Fax
(850) 784-6848
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-15-2007
Last Update Date
01-03-2012
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

DR. ROBERT J JOSEPH M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(850) 784-2477

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3857260001OTHER (01)FLDMERC PTAN
2680076 01MEDICAID (05)FL 
K2846MEDICARE ID-TYPE UNSPECIFIED (04)FLGROUP ID NUMBER
CM7126OTHER (01)FLRRB PTAN

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
10D1091404
Facility Type
Physician Office
Certificate Effective Date
October 31, 2024
Certificate Expiration Date
October 30, 2026
Laboratory Director
JOSEPH J. ROBERT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pain Clinic Of Northwest Fl, Inc 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 1225244395, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
2
Unchanged
Pos 3
2
Doubled → 4
Pos 4
5
Unchanged
Pos 5
2
Doubled → 4
Pos 6
4
Unchanged
Pos 7
4
Doubled → 8
Pos 8
3
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
5
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 2 → 4 2 → 4 4 → 8 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 4 + 5 + 4 + 4 + 8 + 3 + 1 + 8 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1225244395.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Nurse Practitioner
4284 KELSON AVE
MARIANNA, FL 32446
Family Medicine
4284 KELSON AVE
MARIANNA, FL 32446
Neurological Surgery
4284 KELSON AVE
MARIANNA, FL 32446
Nurse Practitioner (Family)
4284 KELSON AVE
MARIANNA, FL 32446
Nurse Practitioner (Family)
4284 KELSON AVE
MARIANNA, FL 32446
Nurse Practitioner
4284 KELSON AVE
MARIANNA, FL 32446
Family Medicine
4284 KELSON AVE
MARIANNA, FL 32446
Family Medicine
4284 KELSON AVE
MARIANNA, FL 32446
Family Medicine
4284 KELSON AVE
MARIANNA, FL 32446
Nurse Practitioner (Family)
4284 KELSON AVE
MARIANNA, FL 32446
Nurse Practitioner (Family)
4284 KELSON AVE
MARIANNA, FL 32446
Family Medicine
4284 KELSON AVE
MARIANNA, FL 32446
Nurse Practitioner (Family)
4284 KELSON AVE
MARIANNA, FL 32446

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225244395, enumerated as an "organization" on May 15, 2007.

The provider is located at 4284 KELSON AVE MARIANNA, FL 32446 and the phone number is (850) 784-2477.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.