EMERALD COAST REGEN, PA
NPI 1407479835
Clinic/Center - Health Service in Panama City, FL

Active since May 20, 2020
1008 JENKS AVE, PANAMA CITY, FL 32401(850) 814-7686 Get Directions Write a Review

NPPES record last updated: May 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Emerald Coast Regen, Pa NPPES

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

EMERALD COAST REGEN, PA (NPI 1407479835) is a healthcare organization registered as a health service in Panama City, Florida and active in the NPI registry since May 2020. The organization lists Wesley Johnson, President, as its authorized official.

NPPES Registry Identity

NPI1407479835
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameEMERALD COAST REGEN, PA
Location Address1008 JENKS AVEPanama City, FL 32401-2437
Mailing Address1008 Jenks AvePanama City, FL 32401-2437
Organization SubpartNo
Authorized OfficialWesley JohnsonPresident · (850) 814-7686
Enumeration DateMay 20, 2020
NPPES CertifiedMay 20, 2020
NPI 1407479835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
1008 JENKS AVE, Panama City, FL 32401

Other Providers at the Same Location NPPES 2

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

Surgery
1008 JENKS AVE
PANAMA CITY, FL 32401
Physician Assistant
1008 JENKS AVE
PANAMA CITY, FL 32401

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 Emerald Coast Regen, PA's NPI number?

The NPI number for Emerald Coast Regen, PA is 1407479835. It was assigned to this organization in the NPPES registry on May 20, 2020.

Where is Emerald Coast Regen, PA located?

Emerald Coast Regen, PA is located at 1008 Jenks Ave, Panama City, FL 32401. The listed phone number is (850) 814-7686.

What is Emerald Coast Regen, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Emerald Coast Regen, PA was last updated on May 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.