Kyle Gavin Rountree, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9420735 Issued in FL

Practice address

12139 Panama City Beach Pkwy
Panama City Beach, FL 32407-2609

Phone

(850) 234-2242

Fax

(850) 234-2262

NPI assigned

Dec 15, 2015

Last updated

Dec 15, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, AL, GA3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergency Medicine Services of FL LLCGroup PAC ID 8426413931, 686 clinicians

Greene County Family Medical ClinicGroup PAC ID 5991867954, 8 clinicians

St Francis Physician Practices LLCGroup PAC ID 8729381033, 217 clinicians

Northern Alabama Physicians, LLPGroup PAC ID 0143379388, 12 clinicians

Mizell Memorial Hospital, Inc.Group PAC ID 6507820990, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Greene County Hospital Hospital, Leakesville, MS, CCN 250782
• St Francis Hospital- Emory Healthcare Hospital, Columbus, GA, CCN 110129
• Medical Center Enterprise Hospital, Enterprise, AL, CCN 010049
• Mizell Memorial Hospital Hospital, Opp, AL, CCN 010007

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kyle.rountree.1@22680.direct.athenahealth.com

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.

• Emergency Medicine Services of FL, LLC

  • Emergency Medicine Physician
  • Aventura, FL
  • NPI 1043917180
  Medicare reassignment Care Compare group NPD
• Mizell Memorial Hospital, Inc.

  • Rural Acute Care Hospital
  • Opp, AL
  • NPI 1013937705
  Medicare reassignment Care Compare group NPD
• Northern Alabama Physicians, LLP

  • Emergency Medicine Physician
  • Decatur, AL
  • NPI 1669618310
  Medicare reassignment Care Compare group NPD
• St. Francis Physician Practices LLC

  dba St. Francis Primary Care

  • Family Medicine Physician
  • Columbus, GA
  • NPI 1326749417
  Medicare reassignment Care Compare group
• Ies Alabama PLLC

  • Emergency Medicine Physician
  • Foley, AL
  • NPI 1053027276
  Medicare reassignment NPD
• Jasper Health Services, Inc.

  dba Jasper Memorial Hospital

  • Critical Access Hospital
  • Monticello, GA
  • NPI 1225031750
  Medicare reassignment NPD
• Southern Alabama Physicians LLP

  • Emergency Medicine Physician
  • Dothan, AL
  • NPI 1467701490
  Medicare reassignment NPD
• Greene County Family Medical Clinic

  • Rural Health Clinic/Center
  • Leakesville, MS
  • NPI 1689821126
  Care Compare group
• App of Florida HM, LLC

  • Hospitalist Physician
  • Milton, FL
  • NPI 1841772316
  NPD
• Jasper Health Services Inc.

  dba Primary Care Center North

  • Critical Access Hospital Clinic/Center
  • Monticello, GA
  • NPI 1275314767
  NPD
• Mizell Memorial Hospital, Inc.

  dba Elba Healthcare

  • Family Medicine Physician
  • Elba, AL
  • NPI 1033863170
  NPD
• Mizell Memorial Hospital, Inc.

  • Family Medicine Physician
  • Opp, AL
  • NPI 1760728455
  NPD

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

• George County Hospital

  dba Greene County Hospital

  • Critical Access Hospital
  • Leakesville, MS
  • NPI 1275796856
  Care Compare affiliation
• Mizell Memorial Hospital, Inc.

  • Rural Acute Care Hospital
  • Opp, AL
  • NPI 1013937705
  Care Compare affiliation
• QHG of Enterprise Inc

  dba Medical Center Enterprise

  • General Acute Care Hospital
  • Enterprise, AL
  • NPI 1720039712
  Care Compare affiliation
• St Francis Health LLC

  dba St Francis Hospital

  • General Acute Care Hospital
  • Columbus, GA
  • NPI 1033228168
  Care Compare affiliation

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

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450137600000",
    "number": "1518322700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12139 PANAMA CITY BEACH PARKWAY",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "32407",
            "telephone_number": "850-234-2242",
            "fax_number": "850-234-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12139 PANAMA CITY BEACH PKWY",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324072609",
            "telephone_number": "850-234-2242",
            "fax_number": "850-234-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUNTREE",
        "first_name": "KYLE",
        "middle_name": "GAVIN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-15",
        "last_updated": "2015-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "F1015587",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9420735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deena Maria Robinson, NP-C
• Kevin Edward Rohan, PA-C
• Scott Allan Roller, IDC
• Jonathan Rollins, LMHC
• Julianne Romano, MA, CRC, CCM
• Tara McKenna Rowe
• Molly Roy
• RWW Senior Living Outpatient Rehab Services, LLC
• Sacred Heart Medical Group
• Sacred Heart Medical Group

• Family Nurse Practitioner in Panama City Beach, FL
• Providers in Panama City Beach, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; 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.

Verify at the official NPI Registry.