EMERALD COAST PAIN PHYSICIANS
NPI 1700843513
Specialist in Mary Esther, FL

Active since April 26, 2006
151 MARY ESTHER BLVD, SUITE 303, MARY ESTHER, FL 32569(850) 243-7788(850) 243-7738 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Emerald Coast Pain Physicians NPPES

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

EMERALD COAST PAIN PHYSICIANS (NPI 1700843513) is a healthcare organization registered as a specialist in Mary Esther, Florida and active in the NPI registry since April 2006. The organization lists Patricia Newsom, Medical Biller, as its authorized official.

NPPES Registry Identity

NPI1700843513
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTHEASTERN INTERVENTIONAL PAIN PHYSICIANS, P.A.
Location Address151 MARY ESTHER BLVD, SUITE 303Mary Esther, FL 32569-1972
Mailing AddressPo Box 699Gulf Breeze, FL 32562-0699 · (850) 243-7788 · Fax (850) 243-7738
Fax(850) 243-7738
Organization SubpartNo
Authorized OfficialPatricia NewsomMedical Biller · (850) 243-7788
Enumeration DateApril 26, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1700843513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
151 MARY ESTHER BLVD, Mary Esther, FL 32569

Other Names 1

Doing Business AsEmerald Coast Pain Physicians

Other Identifiers 1

Other45117FL · Blue Cross Blue Shield

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emerald Coast Pain Physicians is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Emerald Coast Pain Physicians, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Pain Management
NPI 1285691782
151 MARY ESTHER BLVD SUITE 303
Mary Esther, FL 32569
(850) 243-7788
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1619934379
151 MARY ESTHER BLVD SUITE 303
Mary Esther, FL 32569
(850) 243-7788
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Southeastern Interventional Pain Physicians, P.A.'s NPI number?

The NPI number for Southeastern Interventional Pain Physicians, P.A. is 1700843513. It was assigned to this organization in the NPPES registry on April 26, 2006. The provider is doing business as Emerald Coast Pain Physicians.

Where is Southeastern Interventional Pain Physicians, P.A. located?

Southeastern Interventional Pain Physicians, P.A. is located at 151 Mary Esther Blvd Suite 303, Mary Esther, FL 32569. The listed phone number is (850) 243-7788.

What is Southeastern Interventional Pain Physicians, P.A.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Southeastern Interventional Pain Physicians, P.A. enrolled in Medicare?

Yes. Southeastern Interventional Pain Physicians, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southeastern Interventional Pain Physicians, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Southeastern Interventional Pain Physicians, P.A., in Anesthesiology 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southeastern Interventional Pain Physicians, P.A. was last updated on August 22, 2020. 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.