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SOUTHERN VASCULAR OF PANAMA CITY PLLC
NPI 1699109181
Surgery - Vascular Surgery in Panama City, FL

Active since September 03, 2013CLIA 10D2202405 · Waiver
1399 JENKS AVE # 12, PANAMA CITY, FL 32401(850) 532-6303(850) 307-5402 Get Directions Write a Review

NPPES record last updated: September 16, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southern Vascular Of Panama City Pllc NPPES

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

SOUTHERN VASCULAR OF PANAMA CITY PLLC (NPI 1699109181) is a healthcare organization registered as a vascular surgery in Panama City, Florida and active in the NPI registry since September 2013. The organization holds a CLIA Waiver certificate valid through November 26, 2026 and lists Ashish K Gupta, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1699109181
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameSOUTHERN VASCULAR OF PANAMA CITY PLLC
Location Address1399 JENKS AVE # 12Panama City, FL 32401-2442
Mailing Address1399 Jenks Ave # 12Panama City, FL 32401-2442 · (850) 532-6303 · Fax (850) 307-5402
Phone(850) 532-6303
Fax(850) 307-5402
Organization SubpartNo
Authorized OfficialAshish K GuptaPhysician/owner · (850) 896-1696
Enumeration DateSeptember 3, 2013
Last NPPES UpdateSeptember 16, 2019
✔ NPI 1699109181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
1399 JENKS AVE # 12, Panama City, FL 32401
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Other Identifiers 2

OtherDU2333FL · Railroad Medicare
Other004XTFL · Florida Blue

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.Insurance ›

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 10D2202405

Southern Vascular Of Panama City · Panama City, FL
Active · expires Nov 26, 2026
CLIA Number10D2202405
Laboratory TypePhysician Office
Certificate Effective DateNovember 27, 2024
Certificate Expiration DateNovember 26, 2026
Laboratory DirectorAshish K. Gupta
Laboratory Phone(850) 532-6303
Laboratory LocationSouthern Vascular Of Panama City1399 Jenks Ave 12-J, Panama City, FL 32401
CLIA data matches this NPI record on: 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.

DR. ASHISH K GUPTA MD
Surgery (Vascular Surgery)
1399 JENKS AVE # 12
PANAMA CITY, FL 32401
Bay County (850) 532-6303

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 Southern Vascular Of Panama City PLLC's NPI number?

The NPI number for Southern Vascular Of Panama City PLLC is 1699109181. It was assigned to this organization in the NPPES registry on September 3, 2013.

Where is Southern Vascular Of Panama City PLLC located?

Southern Vascular Of Panama City PLLC is located at 1399 Jenks Ave # 12, Panama City, FL 32401. The listed phone number is (850) 532-6303.

What is Southern Vascular Of Panama City PLLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Does Southern Vascular Of Panama City PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2202405) is associated with this NPI, valid through November 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southern Vascular Of Panama City PLLC accept?

Health plans from Ambetter Health and Ambetter of Alabama list Southern Vascular Of Panama City PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southern Vascular Of Panama City PLLC was last updated on September 16, 2019. 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.