Individual provider Active NPI

Greg Keith Sloan, M.D.

  • Family Medicine Physician
  • Chipley, FL
National Provider Identifier
1518077635
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
42501 Issued in FL
Practice address
925 Carlisle Rd
Chipley, FL 32428-4360
Phone
(850) 638-9399
Fax
(850) 638-3720
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 42501 FL Primary

Addresses

Primary practice location

925 Carlisle Rd
Chipley, FL 32428-4360

Mailing address

925 Carlisle Rd
Chipley, FL 32428-4360
Phone (850) 638-9399

Other identifiers 2

IdentifierTypeStateIssuer
20064OtherBLUE CROSS
067951800MedicaidFL

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
I20100917001137 FL Practitioner - Family Practice 5890869192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Florida College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

925 Carlisle Rd
Chipley, FL 32428-4360
Phone (850) 638-9399

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Marianna, FL, CCN 109102
  • NHC Homecare Home health agency, Chipley, FL, CCN 107372
  • Concierge Home Care Home health agency, Panama City, FL, CCN 687029
  • Northwest Florida Community Hospital Hospital, Chipley, FL, CCN 101308
  • Flowers Hospital Hospital, Dothan, AL, CCN 010055
  • Southeast Health Medical Center Hospital, Dothan, AL, CCN 010001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42501FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Associates of NW Florida Family Medicine CurrentSince Jul 10, 1995 Accepting new patients

Locations

925 Carlisle Rd
Chipley, FL 32428
Phone (850) 526-3236

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214524800000",
    "number": "1518077635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 CARLISLE RD",
            "city": "CHIPLEY",
            "state": "FL",
            "postal_code": "324284360",
            "telephone_number": "850-638-9399",
            "fax_number": "850-638-3720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 CARLISLE RD",
            "city": "CHIPLEY",
            "state": "FL",
            "postal_code": "324284360",
            "telephone_number": "850-638-9399",
            "fax_number": "850-638-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOAN",
        "first_name": "GREG",
        "middle_name": "KEITH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "42501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "20064",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "067951800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chipley, FL

Sources for this page

Verify at the official NPI Registry.