Active NPI
Greg Keith Sloan, M.D.
- Family Medicine Physician
- Chipley, FL
National Provider Identifier
1518077635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 42501
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20064 | Other | BLUE CROSS | |
| 067951800 | Medicaid | FL |
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
Enrollment records 1
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
- NHC Homecare
- Concierge Home Care
- Northwest Florida Community Hospital
- Flowers Hospital
- Southeast Health Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42501 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Care Associates of NW Florida | Family Medicine | Current | 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.
-
- Family Medicine Physician
- Chipley, FL
- NPI 1629122148
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Marianna, FL
- NPI 1194918854
-
- Home Health Agency
- Panama City, FL
- NPI 1598325714
-
- Home Health Agency
- Quincy, FL
- NPI 1366469157
-
- Home Health Agency
- Marianna, FL
- NPI 1801827258
-
- Home Health Agency
- Chipley, FL
- NPI 1962429761
-
- Critical Access Hospital
- Chipley, FL
- NPI 1336163708
-
- General Acute Care Hospital
- Dothan, AL
- NPI 1164403861
-
- General Acute Care Hospital
- Dothan, AL
- NPI 1801830500
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.