Individual provider Active NPI

Kevin Edward Rohan, PA-C

  • Surgical Physician Assistant
  • Panama City Beach, FL
National Provider Identifier
1124134093
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9103876 Issued in FL
Practice address
120 N Richard Jackson Blvd Ste 140
Panama City Beach, FL 32407-2522
Phone
(850) 532-6168
Fax
(850) 532-6568
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA9103876 FL Primary

Addresses

Primary practice location

120 N Richard Jackson Blvd Ste 140
Panama City Beach, FL 32407-2522

Mailing address

120 N Richard Jackson Blvd Ste 140
Panama City Beach, FL 32407-2522
Phone (850) 532-6168

Other identifiers 1

IdentifierTypeStateIssuer
AB725ZOtherFLMEDICARE PROVIDER #

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070531000102 FL Practitioner - Physician Assistant 7517060387 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Coast Multispeciality Services, LLCGroup PAC ID 2466555339, 19 clinicians

Practice addresses (Care Compare)

120 N Richard Jackson Blvd
Suite 140
Panama City Beach, FL 32407-2522
Phone (850) 532-6168

Hospital & facility affiliations

  • Tender Touch Health Care Services Home health agency, Panama City, FL, CCN 107791
  • NHC Homecare Home health agency, Panama City Beach, FL, CCN 107099
  • Enhabit Home Health Home health agency, Panama City, FL, CCN 108380
  • HCA Florida Gulf Coast Hospital Hospital, Panama City, FL, CCN 100242
  • Ascension Sacred Heart Bay Hospital, Panama City, FL, CCN 100026
  • Ascension Sacred Heart Gulf Hospital, Port Saint Joe, FL, CCN 100313

Merit-based Incentive Payment System (MIPS)

Final score
81.79 of 100Reported as group
Quality
64.42
Promoting interoperability
100
Improvement activities
40
Cost
74.88

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9103876FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Florida Surgeons, PA CurrentSince May 15, 2024 Accepting new patients
Gulf Coast Multispeciality Services, LLC CurrentSince Jan 12, 2026 Accepting new patients
Orthopaedic Associates, PA CurrentSince Jul 1, 2022 Accepting new patients
North Florida Surgeons, PA CurrentSince May 15, 2024 Accepting new patients

Locations

1034 Mar Walt Dr
Unit 100
Ft Walton Bch, FL 32547
Phone (850) 315-9210

11945 San Jose Blvd
Ste 300
Jacksonville, FL 32223

11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937

2636 Jenks Ave
Panama City, FL 32405
Phone (850) 248-7925

2202 State Ave
Ste 303
Panama City, FL 32405
Phone (850) 784-1856

1827 Harrison Ave
Panama City, FL 32405
Phone (850) 785-4344

120 N Richard Jackson Blvd
Ste 140
Panama City Beach, FL 32407
Phone (850) 532-6168

Interoperability endpoints

  • Direct secure messaging: kevin.rohan.1@9109.direct.athenahealth.com

Organizations & group practices 5

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

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1124134093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N RICHARD JACKSON BLVD STE 140",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324072522",
            "telephone_number": "850-532-6168",
            "fax_number": "850-532-6568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N RICHARD JACKSON BLVD STE 140",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324072522",
            "telephone_number": "850-532-6168",
            "fax_number": "850-532-6568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHAN",
        "first_name": "KEVIN",
        "middle_name": "EDWARD",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9103876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER #",
            "identifier": "AB725Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City Beach, FL

Sources for this page

Verify at the official NPI Registry.