OrganizationActive
Perinatal Support Associates LLC
NPI 1902219199 · Obstetrics & Gynecology Physician · Panama City, FL
Provider details
- NPI number
- 1902219199
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Ingram, Managing Partner(850) 769-0338
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
103 E 23rd St
Panama City, FL 32405-4501
Phone: (850) 769-0338
Fax: (850) 640-2195
Street-level locationGet directions
Mailing address
103 E 23rd St
Panama City, FL 32405-4501
Registry dates
- Enumerated
- 2014-06-05
- Last updated
- 2014-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.