Individual provider Active NPI

Michael A Stickler, M.D.

  • MOHS-Micrographic Surgery Physician
  • Santa Rosa Beach, FL
National Provider Identifier
1962456723
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
ME88808 Issued in FL
Practice address
82 Mack Bayou Loop
Santa Rosa Beach, FL 32459-2637
Phone
(850) 233-3376
Fax
(850) 522-8354
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X ME88808 FL Primary

Addresses

Primary practice location

82 Mack Bayou Loop
Santa Rosa Beach, FL 32459-2637

Mailing address

2505 Harrison Ave
Panama City, FL 32405-4464
Phone (850) 233-3376

Other practice location 1

1543 Professional Pkwy
Auburn, AL 36830-2858
Phone (850) 233-3376

Other practice location 2

3120 Southride Ln
Bonifay, FL 32425-3325
Phone (850) 233-3376

Other practice location 3

4415 US Highway 331 S Ste 100
Defuniak Springs, FL 32435-6307
Phone (850) 233-3376

Other practice location 4

550 Highway 85 N Ste A
Niceville, FL 32578-1045
Phone (850) 233-3376

Other practice location 5

12907 Panama City Beach Pkwy
Panama City Beach, FL 32407-2717
Phone (850) 233-3376

Other identifiers 1

IdentifierTypeStateIssuer
42005OtherFLBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20060802000431 FL Practitioner - Dermatology 9436162740 Reassigns benefits to 1 organization
I20110726000927 AL Practitioner - Dermatology 9436162740 Reassigns benefits to 1 organization
I20180619003559 GA Practitioner - Dermatology 9436162740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
West Virginia University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Dermatology Group PAGroup PAC ID 9931277233, 45 clinicians

Practice addresses (Care Compare)

2505 Harrison Ave
Panama City, FL 32405-4464
Phone (850) 233-3376

4360 Chamblee Dunwoody Rd
Suite 260
Atlanta, GA 30341-1055
Phone (850) 233-3376

Hospital & facility affiliations

  • Sacred Heart Hospital on the Emerald Coast Hospital, Miramar Beach, FL, CCN 100292

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision117
Removal of skin lesions73
Removal of skin cancer1176
Removal or shaving of skin growth1-10
Skin biopsy38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME88808FLMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Dermatology Group PA CurrentSince Oct 8, 2007 Accepting new patients
Vascular Associates LLC Specialist PastSince Mar 30, 2025 Accepting new patients

Locations

1543 Professional Pkwy
Auburn, AL 36830
Phone (334) 821-9308

106 Westside Dr
Dothan, AL 36303
Phone (334) 699-3376

3120 Southride Ln
Bonifay, FL 32425
Phone (850) 547-4440

4415 US Highway 331 S
Ste 100
Defuniak Springs, FL 32435

550 Highway 85 N
Ste A
Niceville, FL 32578
Phone (850) 517-9041

2505 Harrison Ave
Panama City, FL 32405
Phone 85023333762619

2420 Jenks Ave
Unit C1
Panama City, FL 32405

12907 Panama City Beach Pkwy
Panama City Beach, FL 32407

82 Mack Bayou Loop
Santa Rsa Bch, FL 32459
Phone (850) 622-0600

4360 Chamblee Dunwoody Rd
Ste 260
Atlanta, GA 30341
Phone (770) 452-5667

1605 Whitesville St
Lagrange, GA 30240
Phone (706) 548-3019

Interoperability endpoints

  • Direct secure messaging: michael.stickler@gcd.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1962456723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 HARRISON AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054464",
            "telephone_number": "850-233-3376",
            "fax_number": "850-522-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 MACK BAYOU LOOP",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324592637",
            "telephone_number": "850-233-3376",
            "fax_number": "850-522-8354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1543 Professional Pkwy",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "AL",
            "postal_code": "368302858",
            "country_code": "US",
            "telephone_number": "850-233-3376",
            "fax_number": "850-522-8354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3120 Southride Ln",
            "address_purpose": "LOCATION",
            "city": "Bonifay",
            "state": "FL",
            "postal_code": "324253325",
            "country_code": "US",
            "telephone_number": "850-233-3376",
            "fax_number": "850-522-8354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4415 US Highway 331 S Ste 100",
            "address_purpose": "LOCATION",
            "city": "Defuniak Springs",
            "state": "FL",
            "postal_code": "324356307",
            "country_code": "US",
            "telephone_number": "850-233-3376",
            "fax_number": "850-522-8354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 Highway 85 N Ste A",
            "address_purpose": "LOCATION",
            "city": "Niceville",
            "state": "FL",
            "postal_code": "325781045",
            "country_code": "US",
            "telephone_number": "850-233-3376",
            "fax_number": "850-522-8354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12907 Panama City Beach Pkwy",
            "address_purpose": "LOCATION",
            "city": "Panama City Beach",
            "state": "FL",
            "postal_code": "324072717",
            "country_code": "US",
            "telephone_number": "850-233-3376",
            "fax_number": "850-522-8354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STICKLER",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME88808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "42005",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa Beach, FL

Sources for this page

Verify at the official NPI Registry.