CLEARWAY SURGERY CENTER OF PANAMA CITY, LLC
NPI 1316599624
Clinic/Center - Ambulatory Surgical in Panama City, FL

Q: What is Clearway Surgery Center Of Panama City, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since July 16, 2019CLIA 10D2226614 · Waiver

1600 JENKS AVE STE 1, PANAMA CITY, FL 32405(850) 484-4080(850) 484-8801 Get Directions Write a Review

NPPES record last updated: May 17, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 17, 2022, Jul 16, 2019 (2 updates tracked since 2019).

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About Clearway Surgery Center Of Panama City, Llc NPPES

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

CLEARWAY SURGERY CENTER OF PANAMA CITY, LLC (NPI 1316599624) is a healthcare organization registered as an ambulatory surgical in Panama City, Florida and active in the NPI registry since July 2019. The organization holds a CLIA Waiver certificate valid through June 1, 2027 and lists Kacey A Montgomery, Regional Medical Director, as its authorized official.

NPPES Registry Identity

NPI1316599624

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameCLEARWAY SURGERY CENTER OF PANAMA CITY, LLC

Location Address1600 JENKS AVE STE 1Panama City, FL 32405-4644

Mailing Address201 Defense Hwy Ste 205Annapolis, MD 21401-7096 · (855) 527-7246 · Fax (833) 810-1165

Phone(850) 484-4080

Fax(850) 484-8801

Organization SubpartNo

Authorized OfficialKacey A MontgomeryRegional Medical Director · (850) 791-6895

Enumeration DateJuly 16, 2019

Last NPPES UpdateMay 17, 20222 updates tracked since enumeration

NPPES CertifiedMay 17, 2022

✔ NPI 1316599624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

1600 JENKS AVE STE 1, Panama City, FL 32405

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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 10D2226614

Clearway Surgery Center Of Crestview LLC · Crestview, FL

Active · expires Jun 1, 2027

CLIA Number10D2226614

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateJune 2, 2025

Certificate Expiration DateJune 1, 2027

Laboratory DirectorKacey A. Montgomery

Laboratory Phone(850) 484-4080

Laboratory LocationClearway Surgery Center Of Crestview LLC180 E Redstone Ave Ste 1A, Crestview, FL 32539

CLIA data matches this NPI record on: Phone

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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clearway Surgery Center Of Panama City, LLC's NPI number?

The NPI number for Clearway Surgery Center Of Panama City, LLC is 1316599624. It was assigned to this organization in the NPPES registry on July 16, 2019.

Where is Clearway Surgery Center Of Panama City, LLC located?

Clearway Surgery Center Of Panama City, LLC is located at 1600 Jenks Ave Ste 1, Panama City, FL 32405. The listed phone number is (850) 484-4080.

What is Clearway Surgery Center Of Panama City, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Clearway Surgery Center Of Panama City, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2226614) is associated with this NPI, valid through June 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Clearway Surgery Center Of Panama City, LLC was last updated on May 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.