Active NPI
Gene Greenlees, MD
- Procedural Dermatology Physician
- Santa Rosa Beach, FL
National Provider Identifier
1992761563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Procedural Dermatology Physician
- License
- ME84188
- Practice address
- 150 Allen Loop Dr
Santa Rosa Beach, FL 32459-4146 - Phone
- (850) 428-0814
- NPI assigned
- Apr 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | N0063 | TX | |
| Anesthesiology Physician | 207L00000X | ME84188 | FL | |
| Procedural Dermatology Physician | 207NS0135X | ME84188 | FL | Primary |
Addresses
Primary practice location
150 Allen Loop Dr
Santa Rosa Beach, FL 32459-4146
Mailing address
150 Allen Loop Dr
Santa Rosa Beach, FL 32459-4146
Phone (850) 428-0814
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME84188 | FL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Concepts,LLC | Anesthesiology | Past | Accepting new patients |
| Ocala Regional Medical Center Anesthesia Inc | Past | Accepting new patients | |
| Destin Anesthesia, LLC | Anesthesiology | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Lakeland, FL
- NPI 1245280734
Anesthesiology
-
- Certified Registered Nurse Anesthetist
- Destin, FL
- NPI 1891726394
Anesthesiology
-
- Specialist
- Ocala, FL
- NPI 1194719575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616716800000",
"number": "1992761563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 ALLEN LOOP DR",
"city": "SANTA ROSA BEACH",
"state": "FL",
"postal_code": "324594146",
"telephone_number": "850-428-0814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 ALLEN LOOP DR",
"city": "SANTA ROSA BEACH",
"state": "FL",
"postal_code": "324594146",
"telephone_number": "850-428-0814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENLEES",
"first_name": "GENE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-24",
"last_updated": "2021-03-26",
"certification_date": "2021-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "N0063",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME84188",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "FL",
"license": "ME84188",
"primary": true
}
],
"identifiers": [],
"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 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.