Active NPI
Travis Drew Anderson, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Panama City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO4613
- Practice address
- 1710 Lisenby Ave
Panama City, FL 32405-3730 - Phone
- (850) 999-5837
- NPI assigned
- Jun 13, 2022
- Last updated
- Aug 1, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO4613 | FL | Primary |
Addresses
Primary practice location
1710 Lisenby Ave
Panama City, FL 32405-3730
Mailing address
3600 Forbes Avenue
Forbes Tower - Plaza Level Suite 140
Pittsburgh, PA 15213
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1710 Lisenby Ave
Panama City, FL 32405-3730
Phone (850) 807-4420
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 73 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 33 |
| Removal or shaving of skin growth | 17 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emerald Coast Infectious Diseases Medical Group, PA | Current | Accepting new patients | |
| Emerald Coast Infectious Diseases Medical Group, P.a. | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
917 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 862-3979
1710 Lisenby Ave
Panama City, FL 32405
Phone (850) 248-7284
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.
-
dba American Medical Group
- Infectious Disease Physician
- Fort Walton Beach, FL
- NPI 1720017882
Foot & Ankle Surgery
-
dba Synergy Specialty Pharmacy
- Community/Retail Pharmacy
- Fort Walton Beach, FL
- NPI 1154773950
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension Sacred Heart Bay
- General Acute Care Hospital
- Panama City, FL
- NPI 1720078041
-
dba HCA Florida Gulf Coast Hospital
- General Acute Care Hospital
- Panama City, FL
- NPI 1699721589
-
- Home Health Agency
- Panama City, FL
- NPI 1851645360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754006400000",
"number": "1437889581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 FORBES AVENUE",
"address_2": "FORBES TOWER - PLAZA LEVEL SUITE 140",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 LISENBY AVE",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324053730",
"telephone_number": "850-999-5837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "TRAVIS",
"middle_name": "DREW",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-13",
"last_updated": "2025-08-01",
"certification_date": "2025-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO4613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.