Individual provider Active NPI

Kevin Michael Rollins, APRN

  • Family Nurse Practitioner
  • Chipley, FL
National Provider Identifier
1598313363
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11003224 Issued in FL
Practice address
1726 Gainer Rd
Chipley, FL 32428-6039
Phone
(850) 826-3855
Fax
(850) 409-7589
NPI assigned
Aug 26, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11003224 FL Primary

Addresses

Primary practice location

1726 Gainer Rd
Chipley, FL 32428-6039

Mailing address

1726 Gainer Rd
Chipley, FL 32428-6039
Phone (850) 826-3855

Other practice location 1

3207 Lonny Lindsey Dr
Bonifay, FL 32425-4242
Phone (850) 547-4092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11003224FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1598313363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 GAINER RD",
            "city": "CHIPLEY",
            "state": "FL",
            "postal_code": "324286039",
            "telephone_number": "850-826-3855",
            "fax_number": "850-409-7589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 GAINER RD",
            "city": "CHIPLEY",
            "state": "FL",
            "postal_code": "324286039",
            "telephone_number": "850-826-3855",
            "fax_number": "850-409-7589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3207 Lonny Lindsey Dr",
            "address_purpose": "LOCATION",
            "city": "Bonifay",
            "state": "FL",
            "postal_code": "324254242",
            "country_code": "US",
            "telephone_number": "850-547-4092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROLLINS",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-26",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11003224",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.