Individual provider Active NPI

Kasey Gilliss, DC

  • Chiropractor
  • Santa Rosa Beach, FL
National Provider Identifier
1083567309
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15797 Issued in FL
Practice address
116 MC Davis Blvd Ste 100
Santa Rosa Beach, FL 32459-5085
Phone
(850) 468-8008
NPI assigned
Feb 17, 2026
Last updated
Feb 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15797 FL Primary

Addresses

Primary practice location

116 MC Davis Blvd Ste 100
Santa Rosa Beach, FL 32459-5085

Mailing address

116 MC Davis Blvd Ste 100
Santa Rosa Beach, FL 32459-5085
Phone (850) 468-8008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15797FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Well Health Santa Rosa Beach LLC Chiropractor PastSince Apr 17, 2022 Accepting new patients

Organizations & group practices 1

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": "1771286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1083567309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 MC DAVIS BLVD STE 100",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324595085",
            "telephone_number": "850-468-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 MC DAVIS BLVD STE 100",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324595085",
            "telephone_number": "850-468-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLISS",
        "first_name": "KASEY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-02-17",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "15797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.