Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gulf Coast Pain Consultants LLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1083455299

Gulf Coast Pain Consultants LLC is a Physical Medicine & Rehabilitation Physician in Fort Walton Beach, Florida. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

918 Mar Walt Dr
Fort Walton Beach, FL 32547-6706
Phone: (855) 527-7246
Fax: (833) 905-2461
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X
Pain Medicine Physician Taxonomy 208VP0000X
Interventional Pain Medicine Physician Taxonomy 208VP0014X

Record details

NPI number1083455299
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kacey Montgomery — Regional Medical Director · (850) 791-6895
Other names Clearway Pain Solutions Institute
NPI enumeratedJune 3, 2024
Last updated in NPPESJune 3, 2024
Certification dateJune 3, 2024
Mailing address201 Defense Hwy Ste 205, Annapolis, MD 21401-7096

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