Individual provider Active NPI

Gene Greenlees, MD

  • Procedural Dermatology Physician
  • Santa Rosa Beach, FL
National Provider Identifier
1992761563
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
ME84188 Issued in FL
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

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME84188FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Concepts,LLC Anesthesiology Past Accepting new patients
Ocala Regional Medical Center Anesthesia Inc Past Accepting new patients
Destin Anesthesia, LLC Anesthesiology PastSince Sep 5, 2021 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.

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.

Verify at the official NPI Registry.