Emerald Coast Regen, PA
NPI 1407479835 · Health Service Clinic/Center · Panama City, FL
Emerald Coast Regen, PA is a Health Service Clinic/Center organization in Panama City, FL (NPI 1407479835).
Provider details
- NPI number
- 1407479835
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Wesley Johnson, President(850) 814-7686
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-05-20
- Last updated
- 2020-05-20
- Certified
- 2020-05-20
Frequently asked questions
- What is Emerald Coast Regen, PA's NPI number?
- Emerald Coast Regen, PA's National Provider Identifier (NPI) is 1407479835, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Emerald Coast Regen, PA?
- Emerald Coast Regen, PA is classified in the NPPES registry as Health Service Clinic/Center (Ambulatory Health Care Facilities).
- Where is Emerald Coast Regen, PA located?
- Emerald Coast Regen, PA's practice location on file with NPPES is 1008 Jenks Ave, Panama City, FL 32401-2437.
- What is Emerald Coast Regen, PA's phone number?
- The practice phone number listed in the NPPES registry for Emerald Coast Regen, PA is (850) 814-7686.
- Who is the authorized official for Emerald Coast Regen, PA?
- The authorized official listed on Emerald Coast Regen, PA's NPPES record is Wesley Johnson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Emerald Coast Regen, PA's NPI active?
- Yes — Emerald Coast Regen, PA's NPI (1407479835) is active in the NPPES registry as of the last update on 2020-05-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.