Kelly Carver, D.O.

Primary specialty

Hematology (Internal Medicine) PhysicianTaxonomy code 207RH0000X

License

OS14751 Issued in FL

Practice address

2100 State Ave
Panama City, FL 32405-4587

Phone

(850) 763-0036

Fax

(850) 763-0259

NPI assigned

May 8, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Interoperability endpoints

• Direct secure messaging: kelly.carver@fca.ikm.direct-ci.com
• Direct secure messaging: kcarver646528@direct.hfhs.org

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1235549544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 STATE AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054587",
            "telephone_number": "850-763-0036",
            "fax_number": "850-769-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 STATE AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054587",
            "telephone_number": "850-763-0036",
            "fax_number": "850-763-0259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2614 Jenks Ave",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "324054311",
            "country_code": "US",
            "telephone_number": "850-769-2996",
            "fax_number": "850-769-4665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARVER",
        "first_name": "KELLY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-08",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "OS14751",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "FL",
            "license": "OS14751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108120100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cathryn Carson, MS, RMHCI
• Justin Carson, PTA
• Abigail Carter
• Kelly Duane Carter, M.D.
• Linda S Caruso, ARNP-C
• Robert Clifton Case IV, DMD
• Dixie Lynn Casford, MA, LMHC
• Dorothy Dianne Cash, NP
• Garrick W. Cason, M.D.
• Hans E Caspary, M.D.

• Hematology (Internal Medicine) Physician in Panama City, FL
• Providers in Panama City, FL by specialty
• Hematology (Internal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.