GULF COAST MEDICAL DOCTORS
NPI 1700312824
Prevention Professional in Panama City, FL

Active since May 10, 2017CLIA 10D2010937 · Waiver
109 W 23RD ST, SUITE N5, PANAMA CITY, FL 32405(850) 769-1566 Get Directions Write a Review

NPPES record last updated: May 10, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Gulf Coast Medical Doctors NPPES

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

GULF COAST MEDICAL DOCTORS (NPI 1700312824) is a healthcare organization registered as a prevention professional in Panama City, Florida and active in the NPI registry since May 2017. The organization holds a CLIA Waiver certificate valid through August 8, 2028 and lists Ayman Aboulela, Owner, as its authorized official.

NPPES Registry Identity

NPI1700312824
Entity TypeOrganization
Primary Taxonomy405300000X
Legal Business NameGULF COAST MEDICAL DOCTORS
Location Address109 W 23RD ST, SUITE N5Panama City, FL 32405-7610
Mailing AddressPo Box 15834Panama City, FL 32406-5834 · (850) 769-1566
Organization SubpartNo
Authorized OfficialAyman AboulelaOwner · (850) 769-1566
Enumeration DateMay 10, 2017
✔ NPI 1700312824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPrevention ProfessionalOther Service Providers
Taxonomy Code405300000X
License✔ Licensed in FL · ME90177
Definition
Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.
109 W 23RD ST, Panama City, FL 32405

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gulf Coast Medical Doctors is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Gulf Coast Medical Doctors, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Internal Medicine
NPI 1659332278
109 W 23RD N-5
Panama City, FL 32405
(850) 769-1566
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1336599356
2103 JENKS AVE
Panama City, FL 32405
(850) 763-8000
✔ PECOS✔ Accepts Medicare0.3 mi
Family Practice
NPI 1902867567
2101 NORTHSIDE DR UNIT 501
Panama City, FL 32405
(850) 785-3464
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1487261566
1306 E 24TH ST
Lynn Haven, FL 32444
(850) 628-3295
✔ PECOS✔ Accepts Medicare2.8 mi

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 10D2010937

Gulf Coast Medical Doctors, LLC · Panama City, FL
Active · expires Aug 8, 2028
CLIA Number10D2010937
Laboratory TypePhysician Office
Certificate Effective DateAugust 9, 2026
Certificate Expiration DateAugust 8, 2028
Laboratory DirectorAyman Aboulela
Laboratory Phone(850) 769-1566
Laboratory LocationGulf Coast Medical Doctors, LLC109 W 23rd St N 5, Panama City, FL 32405
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Gulf Coast Medical Doctors's NPI number?

The NPI number for Gulf Coast Medical Doctors is 1700312824. It was assigned to this organization in the NPPES registry on May 10, 2017.

Where is Gulf Coast Medical Doctors located?

Gulf Coast Medical Doctors is located at 109 W 23rd St Suite N5, Panama City, FL 32405. The listed phone number is (850) 769-1566.

What is Gulf Coast Medical Doctors's specialty?

The primary specialty registered for this NPI is Prevention Professional with taxonomy code 405300000X.

Is Gulf Coast Medical Doctors enrolled in Medicare?

Yes. Gulf Coast Medical Doctors is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gulf Coast Medical Doctors?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Gulf Coast Medical Doctors, in Family Practice, Internal Medicine and Nurse Practitioner. 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 and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Gulf Coast Medical Doctors hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2010937) is associated with this NPI, valid through August 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gulf Coast Medical Doctors accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Gulf Coast Medical Doctors 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 Gulf Coast Medical Doctors was last updated on May 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.