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EMERALD COAST INFECTIOUS DISEASES MEDICAL GROUP, P.A.
NPI 1457150179
Durable Medical Equipment & Medical Supplies in Panama City, FL

Active since March 13, 2025
1710 LISENBY AVE, PANAMA CITY, FL 32405(850) 807-4420 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Emerald Coast Infectious Diseases Medical Group, P.a. NPPES

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

EMERALD COAST INFECTIOUS DISEASES MEDICAL GROUP, P.A. (NPI 1457150179) is a healthcare organization registered as a durable medical equipment & medical supplies in Panama City, Florida and active in the NPI registry since March 2025. The organization lists Kelley Gear, Assistant Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1457150179
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameEMERALD COAST INFECTIOUS DISEASES MEDICAL GROUP, P.A.
Location Address1710 LISENBY AVEPanama City, FL 32405-3730
Mailing Address917 Mar Walt DrFort Walton Beach, FL 32547-6651 · (850) 862-3979
Phone(850) 807-4420
Organization SubpartNo
Authorized OfficialKelley GearAssistant Practice Manager · (850) 862-3979
Enumeration DateMarch 13, 2025
NPPES CertifiedFebruary 27, 2025
✔ NPI 1457150179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Also ListedDurable Medical Equipment & Medical Supplies · Customized EquipmentTaxonomy 332BC3200X
1710 LISENBY AVE, Panama City, FL 32405
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Other Providers at the Same Location NPPES 5

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

GPD PATHOLOGY LLC
Clinical Medical Laboratory
1710 LISENBY AVE
PANAMA CITY, FL 32405
Bay County (850) 248-7284
TRAVIS DREW ANDERSON D.P.M.
Podiatrist (Foot & Ankle Surgery)
1710 LISENBY AVE
PANAMA CITY, FL 32405
Bay County (850) 999-5837
SEAN HESS D.O
Internal Medicine (Allergy & Immunology)
1710 LISENBY AVE
PANAMA CITY, FL 32405
Bay County (850) 807-4420
CRYSTAL GAYLE MCVAY ARNP
Nurse Practitioner (Adult Health)
1710 LISENBY AVE
PANAMA CITY, FL 32405
Bay County (850) 807-4420
DANIKA SUSAN ANDERSON D.P.M
Podiatrist (Foot & Ankle Surgery)
1710 LISENBY AVE
PANAMA CITY, FL 32405
Bay County (850) 999-5837

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 Infectious Diseases Medical Group, P.A.'s NPI number?

The NPI number for Emerald Coast Infectious Diseases Medical Group, P.A. is 1457150179. It was assigned to this organization in the NPPES registry on March 13, 2025.

Where is Emerald Coast Infectious Diseases Medical Group, P.A. located?

Emerald Coast Infectious Diseases Medical Group, P.A. is located at 1710 Lisenby Ave, Panama City, FL 32405. The listed phone number is (850) 807-4420.

What is Emerald Coast Infectious Diseases Medical Group, P.A.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Emerald Coast Infectious Diseases Medical Group, P.A. was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.