1. Home
  2. Directory
  3. Florida
  4. Panama City
  5. Community Behavioral Health
  6. NPI Profile

GULF COAST ADDICTION MEDICINE
NPI 1407301757
Community/Behavioral Health in Panama City, FL

Active since August 16, 2016CLIA 10D2002237 · Waiver
277 FOREST PARK CIR, PANAMA CITY, FL 32405(850) 522-1516(850) 522-1518 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 16, 2016 (2 updates tracked since 2016).

About Gulf Coast Addiction Medicine NPPES

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

GULF COAST ADDICTION MEDICINE (NPI 1407301757) is a healthcare organization registered as a community/behavioral health in Panama City, Florida and active in the NPI registry since August 2016. The organization holds a CLIA Waiver certificate valid through January 10, 2028 and lists Jennifer Burkett, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1407301757
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameGULF COAST ADDICTION MEDICINE
Location Address277 FOREST PARK CIRPanama City, FL 32405-4920
Mailing Address277 Forest Park CirPanama City, FL 32405-4920 · (850) 522-1516 · Fax (850) 522-1518
Phone(850) 522-1516
Fax(850) 522-1518
Organization SubpartNo
Authorized OfficialJennifer BurkettOffice Manager · (850) 522-1516
Enumeration DateAugust 16, 2016
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1407301757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in FL · 0301
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
277 FOREST PARK CIR, Panama City, FL 32405
Open in Google Maps ↗

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 10D2002237

Gulf Coast Addiction Medicine · Panama City, FL
Active · expires Jan 10, 2028
CLIA Number10D2002237
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateJanuary 11, 2026
Certificate Expiration DateJanuary 10, 2028
Laboratory DirectorPaul D. Cassidy
Laboratory Phone(850) 522-1516
Laboratory LocationGulf Coast Addiction Medicine277 Forest Park Cir, 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

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

ACCESS RECOVERY SOLUTIONS, LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
277 FOREST PARK CIR
PANAMA CITY, FL 32405
Bay County (850) 522-1516

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 Gulf Coast Addiction Medicine's NPI number?

The NPI number for Gulf Coast Addiction Medicine is 1407301757. It was assigned to this organization in the NPPES registry on August 16, 2016.

Where is Gulf Coast Addiction Medicine located?

Gulf Coast Addiction Medicine is located at 277 Forest Park Cir, Panama City, FL 32405. The listed phone number is (850) 522-1516.

What is Gulf Coast Addiction Medicine's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Gulf Coast Addiction Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2002237) is associated with this NPI, valid through January 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gulf Coast Addiction Medicine was last updated on July 21, 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.