Active NPI
Michael A Stickler, M.D.
- MOHS-Micrographic Surgery Physician
- Santa Rosa Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- ME88808
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42005 | Other | FL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, AL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.45 of 100
- Promoting interoperability
- 97
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 117 |
| Removal of skin lesions | 73 |
| Removal of skin cancer | 1176 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 38 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME88808 | FL | MD | MOHS-Micrographic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Dermatology Group PA | Current | Accepting new patients | |
| Vascular Associates LLC | Specialist | Past | 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
- 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.
-
- Specialist
- Panama City, FL
- NPI 1821129313
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Miramar Beach, FL
- NPI 1558391771
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.