Organization Active NPI

Tampa General Medical Group

  • Cardiac Rehabilitation Registered Nurse
  • Wimauma, FL
National Provider Identifier
1013258748
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiac Rehabilitation Registered NurseTaxonomy code 163WC3500X
Legal business name
TAMPA GENERAL MEDICAL GROUP
Practice address
16521 South U.S. Highway 301
Wimauma, FL 33573
Phone
(813) 844-4700
Fax
(813) 844-1976
NPI assigned
Mar 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Authorized official

Name
Dr. Peter T Chang, M.D.
Title
Chief Medical Informatics Officer
Phone
(813) 844-3956

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiac Rehabilitation Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WC3500X Primary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

16521 South U.S. Highway 301
Wimauma, FL 33573

Mailing address

PO Box 1289
Tampa, FL 33601-1289
Phone (813) 844-3956

Other practice location 1

1647 Sun City Center Plz
Ste 104
Sun City Center, FL 33573
Phone (813) 844-4700

Other names 1

  • TGMG Sun City Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160310002525 FL Part B Supplier - Clinic/Group Practice 7416253828 Receives reassigned benefits from 473 practitioners
33 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tampa, FL; Sun City Center, FL; Trinity, FL; Valrico, FL; Wesley Chapel, FL; Wimauma, FL; St Petersburg, FL; Apollo Beach, FL…

Other NPIs on the same Medicare enrollment 33

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 33

National Provider Directory

National Provider Directory

Locations

1647 Sun City Center Plz
Ste 104
Sun City Center, FL 33573
Phone (813) 673-8245

2211 Lithia Center Ln
Valrico, FL 33596
Phone (813) 660-6625

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1013258748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1289",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336011289",
            "telephone_number": "813-844-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16521 SOUTH U.S. HIGHWAY 301",
            "city": "WIMAUMA",
            "state": "FL",
            "postal_code": "33573",
            "telephone_number": "813-844-4700",
            "fax_number": "813-844-1976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1647 Sun City Center Plz",
            "address_2": "Ste 104",
            "address_purpose": "LOCATION",
            "city": "Sun City Center",
            "state": "FL",
            "postal_code": "33573",
            "country_code": "US",
            "telephone_number": "813-844-4700",
            "fax_number": "813-844-1976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TAMPA GENERAL MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-05",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CHIEF MEDICAL INFORMATICS OFFICER",
        "authorized_official_telephone_number": "813-844-3956",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "163WC3500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Cardiac Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TGMG Sun City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wimauma, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.