Kyle S Chavers, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME111321 Issued in FL

Practice address

4467 Commons Dr W Ste F-G
Destin, FL 32541-8454

Phone

(850) 269-9000

Fax

(850) 269-9002

NPI assigned

Jan 12, 2007

Last updated

Jun 19, 2023By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2024 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/spectracare/r4/

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.

• Foundations Medical Center PLLC

  • Family Medicine Physician
  • Destin, FL
  • NPI 1811598105
  Authorized official Same address or phone
• Flowers Pathology Group, LLC

  • Specialist
  • Dothan, AL
  • NPI 1518050574
  NPD
• Primecare of Dothan, PC

  • Primary Care Clinic/Center
  • Dothan, AL
  • NPI 1487726626
  NPD (past)
• Primeteam, Inc.

  dba PrimeCare

  • Primary Care Clinic/Center
  • Dothan, AL
  • NPI 1013199074
  NPD (past)
• Spectracare Integrated Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dothan, AL
  • NPI 1205385176
  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1902957582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 YACHT CLUB DR",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325783716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4467 COMMONS DR W STE F-G",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325418454",
            "telephone_number": "850-269-9000",
            "fax_number": "850-269-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVERS",
        "first_name": "KYLE",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME111321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Carey
• Jessica Carpenter
• Melanie Cassulo, LMHC
• Sasha Marie Castiglione, PA-C
• Charles B Barniv MD PA
• Christine Rushford, LMHC, LLC
• Ted Chung, M.D.
• Mark Catlett Cifelli, PHARMD, BCPS, BCACP
• April Nicole Clark, PT
• Lisa Bardy Clark, M.D.

• Family Medicine Physician in Destin, FL
• Providers in Destin, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.