Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285296137 Individual Practitioner Male Practitioner

Nathaniel David Mack , PA-C

Physician Assistant • Panama City, FL

Professional Overview & Biography Verified Profile Summary

Nathaniel Mack, PA-C is a registered healthcare professional specializing in Physician Assistant in Panama City, FL. Practice services are available at 340 MAGNOLIA CIR BLDG 1465 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

340 Magnolia Cir Bldg 1465

Panama City, FL 324035604

Telephone 8502837576

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Panama City, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.5 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
65 Specialists

Practicing in Panama City, FL (10376 Statewide)

Telehealth Adoption Rate
7.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-09-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License 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

State License None 1285296137

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

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1730889049

Doctor of Dental Medicine

NPI 1922840156

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location June 25, 2024

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

📍
Updated Business Mailing Address June 25, 2024

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

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

Physician Assistant (License #1285296137 in None)

📍
Updated Practice Location May 11, 2023

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

📍
Updated Business Mailing Address May 11, 2023

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

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

Military Health Care Provider (License #1285296137 in None)

📍
Updated Practice Location February 14, 2022

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

📍
Updated Business Mailing Address February 14, 2022

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

👤
Provider Name / Credentials Updated February 14, 2022

Recorded as NATHANIEL MACK, PA-C

NPI Profile Active July 01, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location July 01, 2019

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

📍
Updated Business Mailing Address July 01, 2019

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

👤
Provider Name / Credentials Updated July 01, 2019

Recorded as NATHANIEL MACK

🎓
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.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Mailing Address

340 Magnolia Circile, Bldg. 1465

Panama City, FL 324035604

Phone: 8502867576

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.