Individual provider Active NPI

Sarah Skelly, DO

  • Family Medicine Physician
  • Navarre, FL
National Provider Identifier
1881013886
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS14425 Issued in FL
Practice address
2045 Fountain Professional CT Ste C
Navarre, FL 32566-5108
Phone
(850) 407-1914
Fax
(800) 867-9259
NPI assigned
Apr 8, 2014
Last updated
Jul 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X OS14425 FL Primary

Addresses

Primary practice location

2045 Fountain Professional CT Ste C
Navarre, FL 32566-5108

Mailing address

2045 Fountain Professional CT Ste C
Navarre, FL 32566-5108
Phone (850) 407-1914

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
I20170901002811 FL Practitioner - Family Practice 9032482666 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Skelly Medical Group LLC Family Medicine CurrentSince Jun 26, 2023 Accepting new patients
Santa Rosa Hma Physician Management, LLC Family Medicine CurrentSince Aug 1, 2017 Accepting new patients

Locations

1929 Ortega St
Navarre, FL 32566
Phone (850) 626-5459

2045 Fountain Professional Ct
Ste C
Navarre, FL 32566
Phone (850) 407-1914

4225 Woodbine Rd
Ste C
Pace, FL 32571
Phone (850) 626-2020

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1881013886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 FOUNTAIN PROFESSIONAL CT STE C",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325665108",
            "telephone_number": "850-407-1914",
            "fax_number": "800-867-9259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 FOUNTAIN PROFESSIONAL CT STE C",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325665108",
            "telephone_number": "850-407-1914",
            "fax_number": "800-867-9259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKELLY",
        "first_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-08",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS14425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Navarre, FL

Sources for this page

Verify at the official NPI Registry.