CALLAWAY CLINIC L L C
NPI 1659577690
Internal Medicine in Panama City, FL

Active since June 26, 2007CLIA 10D1105394 · Waiver
489 N TYNDALL PKWY, PANAMA CITY, FL 32404(850) 769-2803(850) 913-8046 Get Directions Write a Review

NPPES record last updated: June 5, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Callaway Clinic L L C NPPES

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

CALLAWAY CLINIC L L C (NPI 1659577690) is a healthcare organization registered as an internal medicine in Panama City, Florida and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through September 22, 2027 and lists Ketan A Patel, Owner, as its authorized official.

NPPES Registry Identity

NPI1659577690
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCALLAWAY CLINIC L L C
Location Address489 N TYNDALL PKWYPanama City, FL 32404-6126
Mailing Address489 N Tyndall PkwyPanama City, FL 32404-6126 · (850) 769-2803 · Fax (850) 913-8046
Fax(850) 913-8046
Organization SubpartNo
Authorized OfficialKetan A PatelOwner · (850) 769-2803
Enumeration DateJune 26, 2007
Last NPPES UpdateJune 5, 2008
NPI 1659577690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
489 N TYNDALL PKWY, Panama City, FL 32404

Other Identifiers 2

Medicare PINK3428FL
Medicare PINK3368FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 10D1105394

Callaway Clinic · Panama City, FL
Active · expires Sep 22, 2027
CLIA Number10D1105394
Laboratory TypePhysician Office
Certificate Effective DateSeptember 23, 2025
Certificate Expiration DateSeptember 22, 2027
Laboratory DirectorAlbert Mapp Jr
Laboratory Phone(850) 769-2803
Laboratory LocationCallaway Clinic489 N Tyndall Pkwy, Panama City, FL 32404
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 4

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

Family Medicine
489 N TYNDALL PKWY
PANAMA CITY, FL 32404
Family Medicine
489 N TYNDALL PKWY
PANAMA CITY, FL 32404
Nurse Practitioner (Family)
489 N TYNDALL PKWY
PANAMA CITY, FL 32404
Nurse Practitioner (Family)
489 N TYNDALL PKWY
PANAMA CITY, FL 32404

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 Callaway Clinic L L C's NPI number?

The NPI number for Callaway Clinic L L C is 1659577690. It was assigned to this organization in the NPPES registry on June 26, 2007.

Where is Callaway Clinic L L C located?

Callaway Clinic L L C is located at 489 N Tyndall Pkwy, Panama City, FL 32404. The listed phone number is (850) 769-2803.

What is Callaway Clinic L L C's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Callaway Clinic L L C hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1105394) is associated with this NPI, valid through September 22, 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 Callaway Clinic L L C was last updated on June 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.