Grant Adam Kidd, D.O.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

10924 Issued in CA

Practice address

2202 State Ave Ste 201
Panama City, FL 32405-4582

Phone

(850) 785-0029

Fax

(850) 785-7600

NPI assigned

Jan 6, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

NeurologyAlso: Interventional Pain Management

Education

Michigan State University College of Osteopathic Medicine, 2004

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Gulf Coast Hospital Hospital, Panama City, FL, CCN 100242
• Marshall Medical Center Hospital, Placerville, CA, CCN 050254

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: grant.kidd@edchc.eclinicaldirectplus.com
• Direct secure messaging: grantkidd@brainspine.allscriptsdirect.net
• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/0000070

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.

• Brain and Spine LLC

  dba Brain and Spine Specialists

  • Neurology Physician
  • Panama City, FL
  • NPI 1942317896
  Medicare reassignment NPD
• El Dorado County Community Health Center

  dba El Dorado Community Health Center Cameron Park Main

  • Federally Qualified Health Center (FQHC)
  • Cameron Park, CA
  • NPI 1073981783
  NPD (past)
• El Dorado County Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Placerville, CA
  • NPI 1316050107
  NPD (past)

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

• Bay Hospital, Inc

  dba HCA Florida Gulf Coast Hospital

  • General Acute Care Hospital
  • Panama City, FL
  • NPI 1699721589
  Care Compare affiliation
• Marshall Medical Center

  • General Acute Care Hospital
  • Placerville, CA
  • NPI 1972503142
  Care Compare affiliation

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1730167057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 HIDDEN ISLAND DR",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324087472",
            "telephone_number": "949-885-6344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 STATE AVE STE 201",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054582",
            "telephone_number": "850-785-0029",
            "fax_number": "850-785-7600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "431 Hidden Island Dr",
            "address_purpose": "LOCATION",
            "city": "Panama City Beach",
            "state": "FL",
            "postal_code": "324087472",
            "country_code": "US",
            "telephone_number": "949-885-6344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIDD",
        "first_name": "GRANT",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "OS21234",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "10924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Z7XOI",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashraf Misal Khan, M.D.
• Kaylyn Marie Khan, ARNP
• Misal Khan, MD
• Alema Khandaker, MD
• Kathy J Kichura, OTR/L
• Laurie Kidd, PSYD
• Kevin Gerard Killeen
• Ashley Elizabeth Kilpatrick, PHARMD
• Stephanie Kimbrough
• April Lynn Kimmel, PA-C

• Neurology Physician in Panama City, FL
• Providers in Panama City, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.

Verify at the official NPI Registry.