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Nathaniel David Mack , PA-C

Physician Assistant β€’ Panama City, FL

Active NPI 1285296137 Individual Practitioner Male Practitioner
Practice location in NPPES

340 Magnolia Cir Bldg 1465
Panama City, FL 324035604

Call 8502837576 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

340 Magnolia Cir Bldg 1465

Panama City, FL 324035604

Telephone 8502837576

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Panama City and Florida

59 active clinicians are listed under Physician Assistant with a practice address in Panama City, FL (10,260 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Panama City

8.5% of these 59 clinicians have the CMS telehealth indicator.

49.2% of these 59 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-09-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES None 1285296137

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Military Health Care Provider

NUCC Taxonomy Code: 171000000X

License # reported to NPPES None 1285296137

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

15 Historical Events
πŸ“
Updated Practice Location June 25, 2024

Registered at 340 MAGNOLIA CIR BLDG 1465, PANAMA CITY, FL 324035604 (Tel: 8502837576)

πŸ“
Updated Business Mailing Address June 25, 2024

Registered at 340 MAGNOLIA CIRCILE, BLDG. 1465, PANAMA CITY, FL 324035604 (Tel: 8502867576)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2024

Physician Assistant (license number reported to NPPES: None 1285296137)

πŸ“
Updated Practice Location May 11, 2023

Registered at 51ST MEDICAL GROUP 777 SONGTAN BLVD, OSAN AB, APO 96278 (Tel: 3345423032)

πŸ“
Updated Business Mailing Address May 11, 2023

Registered at 51ST MEDICAL GROUP 777 SONGTAN BLVD, OSAN AB, APO 96278

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2023

Military Health Care Provider (license number reported to NPPES: None 1285296137)

πŸ“
Updated Practice Location February 14, 2022

Registered at 701 HOSPITAL LOOP, FAIRCHILD AIR FORCE BASE, WA 990118704 (Tel: 5092472978)

πŸ“
Updated Business Mailing Address February 14, 2022

Registered at 701 HOSPITAL LOOP STE 42, FAIRCHILD AIR FORCE BASE, WA 990118702 (Tel: 5092472978)

πŸ‘€
Provider Name / Credentials Updated February 14, 2022

Recorded as NATHANIEL MACK, PA-C

βœ…
NPI Profile Active July 01, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 01, 2019

Registered at 2501 CAPEHART RD, BELLEVUE, NE 68123 (Tel: 4022946133)

πŸ“
Business Mailing Address (Initial Record) July 01, 2019

Registered at 12202 BARKSDALE DR, BELLEVUE, NE 681231475 (Tel: 3345423032)

πŸ‘€
Provider Name / Credentials (Initial Record) July 01, 2019

Recorded as NATHANIEL MACK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2019

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration July 01, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1285296137
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 01, 2019
Last Update: September 11, 2024
Sole Proprietor: No

Other Physician Assistants in Panama City

All Physician Assistants in Panama City

Mailing Address

340 Magnolia Circile, Bldg. 1465

Panama City, FL 324035604

Phone: 8502867576

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.