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NPISignal

Individual Healthcare Provider

Jason Qualley, MD, CCP,LP

NPI Record: ActivePain Medicine — Interventional Pain Medicine
NPI1215432901
Destin, Florida

Provider's NPPES record last updated: January 5, 2026

Overview

Entity Type
Individual Healthcare Provider
NPI
1215432901
Primary Specialty
Pain Medicine — Interventional Pain Medicine
Practice Location
Destin, Florida
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 20, 2026, 11:10 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Pain Medicine

    Interventional Pain Medicine

    Allopathic & Osteopathic Physicians

    Primary

    Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

    Taxonomy code 208VP0014X
  • Hospitalist

    Allopathic & Osteopathic Physicians

    Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

    Taxonomy code 208M00000X
  • Perfusionist

    Technologists, Technicians & Other Technical Service Providers

    A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used.

    Taxonomy code 242T00000X
  • Internal Medicine

    Allopathic & Osteopathic Physicians

    A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

    Taxonomy code 207R00000X

Provider-Reported License Information

Pain Medicine (Florida)
ME165604
Hospitalist (Florida)
ME165604
Internal Medicine (Texas)
613883
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

155 Crystal Beach Dr Ste 200

Destin, Florida 32541-3588

Phone: (850) 353-2055

Additional Practice Location

3080 College St

Beaumont, Texas 77701-4606

Phone: (409) 212-5000

Additional Practice Location

222 Perry Hwy

Hawkinsville, Georgia 31036-6748

Phone: (478) 783-0200

Additional Practice Location

9981 S Healthpark Dr

Fort Myers, Florida 33908-3618

Phone: (239) 343-2052

Fax: (239) 343-5348

Additional Practice Location

182 E Redstone Ave Ste A

Crestview, Florida 32539-5371

Phone: (855) 527-7246

Fax: (833) 905-2461

Record Information

Enumeration Date
March 26, 2018
Provider's NPPES Record Last Updated
January 5, 2026
Certification Date
January 5, 2026
NPISignal NPPES Dataset
August 2026

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