Individual provider Active NPI

Kelly L Reed, DO

  • Dermatology Physician
  • Gulf Breeze, FL
National Provider Identifier
1053666370
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
OS17445 Issued in FL
Practice address
30 Daniel Cir
Gulf Breeze, FL 32561-4571
Phone
(850) 735-3376
Fax
(559) 201-1269
NPI assigned
Jul 24, 2012
Last updated
Aug 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X OS17445 FL Primary
Dermatology Physician 207N00000X 20A15550 CA

Addresses

Primary practice location

30 Daniel Cir
Gulf Breeze, FL 32561-4571

Mailing address

30 Daniel Cir
Gulf Breeze, FL 32561-4571
Phone (850) 735-3376

Other practice location 1

1733 W Main St Ste 500
Dothan, AL 36301-1321
Phone (334) 699-7546

Other practice location 2

877 3rd St Ste 3
Chipley, FL 32428-1855
Phone (850) 769-7546

Other practice location 3

8411 Town Center Blvd Unit 105
Panama City Beach, FL 32413-9668
Phone (850) 769-7546

Other practice location 4

100 N Richard Jackson Blvd Ste 140
Panama City Beach, FL 32407-2517
Phone (850) 769-7546

Other practice location 5

1900 Harrison Ave
Panama City, FL 32405-4542
Phone (850) 769-7546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210301000462 FL Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 0345483137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proper Dermatology PLLCGroup PAC ID 8325470727, 5 clinicians

Practice addresses (Care Compare)

30 Daniel Cir
Gulf Breeze, FL 32561-4571
Phone (850) 735-3376

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision148
Removal of skin lesions464
Removal of skin cancer295
Skin biopsy190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A15550CAMDDermatology Physician
15550CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Proper Dermatology PLLC Dermatology CurrentSince Apr 1, 2021 Accepting new patients
J. Robert West, M.D., Inc Dermatology Past Accepting new patients

Locations

30 Daniel Cir
Gulf Breeze, FL 32561
Phone (850) 735-3376

85 Bay Bridge Dr
Gulf Breeze, FL 32561
Phone (850) 735-3376

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00240

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1053666370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 DANIEL CIR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614571",
            "telephone_number": "850-735-3376",
            "fax_number": "559-201-1269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 DANIEL CIR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614571",
            "telephone_number": "850-735-3376",
            "fax_number": "559-201-1269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1733 W Main St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Dothan",
            "state": "AL",
            "postal_code": "363011321",
            "country_code": "US",
            "telephone_number": "334-699-7546",
            "fax_number": "334-699-7548",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "877 3rd St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Chipley",
            "state": "FL",
            "postal_code": "324281855",
            "country_code": "US",
            "telephone_number": "850-769-7546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8411 Town Center Blvd Unit 105",
            "address_purpose": "LOCATION",
            "city": "Panama City Beach",
            "state": "FL",
            "postal_code": "324139668",
            "country_code": "US",
            "telephone_number": "850-769-7546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 N Richard Jackson Blvd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Panama City Beach",
            "state": "FL",
            "postal_code": "324072517",
            "country_code": "US",
            "telephone_number": "850-769-7546",
            "fax_number": "850-785-2123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 Harrison Ave",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "324054542",
            "country_code": "US",
            "telephone_number": "850-769-7546",
            "fax_number": "850-785-2123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REED",
        "first_name": "KELLY",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-24",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS17445",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "20A15550",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Breeze, FL

Sources for this page

Verify at the official NPI Registry.