EMERALD COAST PAIN SERVICES
NPI 1619269180
Specialist in Destin, FL
About Emerald Coast Pain Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EMERALD COAST PAIN SERVICES (NPI 1619269180) is a healthcare organization registered as a specialist in Destin, Florida and active in the NPI registry since May 2011. The organization holds a CLIA Waiver certificate valid through October 28, 2027 and lists Angela Marie King, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Emerald Coast Pain Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Emerald Coast Pain Services, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 10D2019839
Anesthesia Inc · Destin, FLFrequently 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 Anesthesia Inc's NPI number?
The NPI number for Anesthesia Inc is 1619269180. It was assigned to this organization in the NPPES registry on May 3, 2011. The provider is doing business as Emerald Coast Pain Services.
Where is Anesthesia Inc located?
Anesthesia Inc is located at 3997 Commons Dr W Suite M, Destin, FL 32541. The listed phone number is (850) 424-3769.
What is Anesthesia Inc's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Anesthesia Inc enrolled in Medicare?
Yes. Anesthesia Inc is registered in the Medicare PECOS enrollment system.
When is Anesthesia Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Anesthesia Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Anesthesia Inc, in Interventional Pain Management and Pain Management. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Anesthesia Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2019839) is associated with this NPI, valid through October 28, 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 Anesthesia Inc was last updated on June 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Emerald Coast Pain Services · NPI 1619269180
Specialist organization in Destin, Florida. Organization record, active in the CMS NPPES registry since May 3, 2011.
## Identity
- **NPI:** 1619269180 (Entity type: Organization)
- **Enumerated:** May 3, 2011
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Legal business name:** Anesthesia Inc
- **Organization subpart:** No
- **Authorized official:** Angela King, OFFICE MANAGER
## Practice location
- **Address:** 3997 COMMONS DR W, SUITE M, Destin, FL 32541-8443
- **Phone:** (850) 424-3769 · **Fax:** (850) 460-2491
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Interventional Pain Management (2), Pain Management (2); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 10, 2014
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1619269180) · Data from the CMS NPPES public registry.