SOUTHERN VASCULAR OF PANAMA CITY PLLC
NPI 1699109181
Surgery - Vascular Surgery in Panama City, FL
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
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southern Vascular Of Panama City Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Southern Vascular Of Panama City PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 10D2202405
Southern Vascular Of Panama City · Panama City, 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 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.
Is Southern Vascular Of Panama City PLLC enrolled in Medicare?
Yes. Southern Vascular Of Panama City PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Vascular Of Panama City PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Vascular Surgery) reassigns their Medicare billing to Southern Vascular Of Panama City PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 7 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.
# Southern Vascular Of Panama City Pllc · NPI 1699109181
Vascular Surgery organization in Panama City, Florida. Organization record, active in the CMS NPPES registry since September 3, 2013.
## Identity
- **NPI:** 1699109181 (Entity type: Organization)
- **Enumerated:** September 3, 2013
- **Primary specialty:** Surgery - Vascular Surgery · taxonomy 2086S0129X
- **Organization subpart:** No
- **Authorized official:** Ashish Gupta, PHYSICIAN/OWNER
## Practice location
- **Address:** 1399 JENKS AVE # 12, Panama City, FL 32401-2442
- **Phone:** (850) 532-6303 · **Fax:** (850) 307-5402
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Vascular Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 16, 2019
- **Other identifiers:** Other DU2333 (FL); Other 004XT (FL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1699109181) · Data from the CMS NPPES public registry.