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KELLY DUANE CARTER M.D.
NPI 1124123195
Pediatrics in Panama City, FL

Active since September 14, 2006PECOS Enrolled
619 N COVE BLVD, PANAMA CITY, FL 32401(850) 804-3870 Get Directions Write a Review

NPPES record last updated: September 2, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 16, 2017, Jan 9, 2017 (2 updates tracked since 2017).

About Kelly Duane Carter M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY DUANE CARTER M.D. (NPI 1124123195) is an individual pediatrics provider in Panama City, Florida, licensed in Florida (ME149464) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124123195
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameKELLY DUANE CARTERCredential: M.D.
Location Address619 N COVE BLVDPanama City, FL 32401-3642
Mailing Address619 N Cove BlvdPanama City, FL 32401-3642 · (850) 804-3870
Phone(850) 804-3870
Sole ProprietorNo
Enumeration DateSeptember 14, 2006
Last NPPES UpdateSeptember 2, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2021
✔ NPI 1124123195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in FL · ME149464✔ Licensed in CA · C54560✔ Licensed in AL · 20711
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
619 N COVE BLVD, Panama City, FL 32401
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Other Identifiers 3

Other35556AL · Blue Cross Blue Shield
Medicaid000035556AL
MedicaidC54560CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Duane Carter M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Kelly Carter reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ascension Sacred Heart Gulf
96 mi
Family Medicine
5225 CARMEL HEIGHTS DR
Pensacola, FL 32504
  • Reassigned Medicare billing, Florida enrollment
  • 20 clinicians in this Medicare group
NPI 1528336302 (850) 475-4500
Enloe Medical Center
2,142 mi
Surgery
1600 ESPLANADE, SUITE C
Chico, CA 95926
  • Reassigned Medicare billing, California enrollment
  • 184 clinicians in this Medicare group
NPI 1477975613 (530) 332-7300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ELIZABETH RUTH DOSS ARNP
Nurse Practitioner (Acute Care)
619 N COVE BLVD
PANAMA CITY, FL 32401
Bay County (850) 913-6960
KATHARINA PELLEGRIN M.D.
Surgery
619 N COVE BLVD
PANAMA CITY, FL 32401
Bay County (850) 913-6960
SHAMON A LOCKHART
Behavior Technician
619 N COVE BLVD
PANAMA CITY, FL 32401
Bay County (850) 270-8411
BRANDY JEAN MCIVER NP-C
Nurse Practitioner (Family)
619 N COVE BLVD
PANAMA CITY, FL 32401
Bay County (850) 785-9559
DR. REBECCA SUZANNE HYSONG M.D.
Surgery
619 N COVE BLVD
PANAMA CITY, FL 32401
Bay County (850) 913-6960
LYNN S SETO M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
619 N COVE BLVD
PANAMA CITY, FL 32401
Bay County (850) 785-9559
DAVID L TENNISWOOD MD
Surgery
619 N COVE BLVD
PANAMA CITY, FL 32401
Bay County (850) 913-6960
JAYLA MARIE EDWARDS
Behavior Technician
619 N COVE BLVD
PANAMA CITY, FL 32401
Bay County (850) 270-8411

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Carter's NPI number?

The NPI number for Kelly Carter is 1124123195. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Kelly Carter located?

Kelly Carter practices at 619 N Cove Blvd, Panama City, FL 32401. The listed phone number is (850) 804-3870.

What is Kelly Carter's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kelly Carter enrolled in Medicare?

Yes. Kelly Carter is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kelly Carter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Carter reassigns Medicare benefits to 2 organizations: Ascension Sacred Heart Gulf (Pensacola, FL) and Enloe Medical Center (Chico, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Carter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Carter accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Kelly Carter as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Carter was last updated on September 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.