Active NPI
Metropolitan Charities Inc
Doing business as Metro Healthy Communities
- Federally Qualified Health Center (FQHC)
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- METROPOLITAN CHARITIES INC
- Doing business as
- Metro Healthy Communities
Metro Inclusive Health - Practice address
- 625 6TH Ave S Ste 305
Saint Petersburg, FL 33701-4664 - Phone
- (727) 321-3854
- Fax
- (727) 327-7670
- NPI assigned
- May 24, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Erin Jacobs
- Title
- Sr. Director of Practice Admin
- Phone
- (727) 321-3854
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
625 6TH Ave S Ste 305
Saint Petersburg, FL 33701-4664
Mailing address
701 94TH Ave N Ste 250
St Petersburg, FL 33702-2448
Phone (727) 321-3854
Other practice location 1
3500 E Fletcher Ave Ste 302
Tampa, FL 33613-4797
Phone (727) 321-3854
Other practice location 2
18167 US Highway 19 N Ste 150
Clearwater, FL 33764-6566
Phone (727) 220-0550
Other practice location 3
2116 34th St S
Saint Petersburg, FL 33711-3224
Phone (727) 321-3854
Other practice location 4
2235 Central Ave
Saint Petersburg, FL 33713-8844
Phone (727) 321-3854
Other practice location 5
4747 US Highway 19
New Port Richey, FL 34652-4945
Phone (727) 321-3854
Other practice location 6
3918 N Highland Ave
Tampa, FL 33603-4724
Phone (727) 321-3854
Other practice location 7
11201 Corporate Cir N Ste 140
Saint Petersburg, FL 33716-3701
Phone (727) 321-3854
Other practice location 8
302 Bryan Rd
Brandon, FL 33511-5337
Phone (727) 321-3854
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015736100 | Medicaid | FL | |
| 108944500 | Medicaid | FL |
Other names 2
- Metro Healthy Communities
- Metro Inclusive Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 10
Federally qualified health center certification: CCN 681185
- Legal name
- METROPOLITAN CHARITIES INC
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Apr 1, 2020
- Last certification
- Apr 1, 2020
- Ownership / control type
- For profit – partnership
- Organization structure
- Other
- Incorporated
- Feb 8, 2012 in FL
- Enrollment address
- 4747 US Highway 19
New Port Richey, FL 34652-4945
Federally qualified health center certification: CCN 681987
- Legal name
- METROPOLITAN CHARITIES INC
- Doing business as
- METRO INCLUSIVE HEALTH
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Dec 22, 2021
- Last certification
- Dec 22, 2021
- Ownership / control type
- For profit – corporation
- Organization structure
- Other
- Incorporated
- Feb 8, 2012 in FL
- Enrollment address
- 2237 Central Ave
Saint Petersburg, FL 33713-8844
Federally qualified health center certification: CCN C11001
- Legal name
- METROPOLITAN CHARITIES INC
- Doing business as
- METRO INCLUSIVE HEALTH
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Dec 29, 2023
- Last certification
- Dec 29, 2023
- Ownership / control type
- For profit – corporation
- Organization structure
- Other
- Incorporated
- Feb 8, 2012 in FL
- Enrollment address
- 3918 N Highland Ave
Tampa, FL 33603-4724
Federally qualified health center certification: CCN C11017
- Legal name
- METROPOLITAN CHARITIES INC
- Doing business as
- METRO INCLUSIVE HEALTH
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Apr 10, 2024
- Last certification
- Apr 10, 2024
- Ownership / control type
- For profit – corporation
- Organization structure
- Other
- Incorporated
- Feb 8, 2012 in FL
- Enrollment address
- 2116 34TH St S
Saint Petersburg, FL 33711-3224
Federally qualified health center certification: CCN C11002
- Legal name
- METROPOLITAN CHARITIES INC
- Doing business as
- METRO INCLUSIVE HEALTH
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Dec 29, 2023
- Last certification
- Dec 29, 2023
- Ownership / control type
- For profit – corporation
- Organization structure
- Other
- Incorporated
- Feb 8, 2012 in FL
- Enrollment address
- 3500 E Fletcher Ave
Ste 302
Tampa, FL 33613-4797
Federally qualified health center certification: CCN C11003
- Legal name
- METROPOLITAN CHARITIES INC
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Dec 29, 2023
- Last certification
- Dec 29, 2023
- Ownership / control type
- For profit – corporation
- Organization structure
- Other
- Enrollment address
- 625 6TH Ave S
Saint Petersburg, FL 33701-4662
Federally qualified health center certification: CCN C11004
- Legal name
- METROPOLITAN CHARITIES INC
- Doing business as
- METRO INCLUSIVE HEALTH
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Dec 29, 2023
- Last certification
- Dec 29, 2023
- Ownership / control type
- For profit – corporation
- Organization structure
- Other
- Incorporated
- Feb 8, 2012 in FL
- Enrollment address
- 302 Bryan Rd
Brandon, FL 33511-5337
Federally qualified health center certification: CCN C11006
- Legal name
- METROPOLITAN CHARITIES INC
- Doing business as
- METRO INCLUSIVE HEALTH
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Dec 29, 2023
- Last certification
- Dec 29, 2023
- Ownership / control type
- For profit – corporation
- Organization structure
- Other
- Incorporated
- Feb 8, 2012 in FL
- Enrollment address
- 18167 US Highway 19 N
Ste 150
Clearwater, FL 33764-6566
Federally qualified health center certification: CCN C11005
- Legal name
- METROPOLITAN CHARITIES INC
- Doing business as
- METRO INCLUSIVE HEALTH
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Dec 29, 2023
- Last certification
- Dec 29, 2023
- Ownership / control type
- For profit – corporation
- Organization structure
- Other
- Incorporated
- Feb 8, 2012 in FL
- Enrollment address
- 11201 Corporate Cir N
Ste 140
Saint Petersburg, FL 33716-3701
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1035018 | Metropolitan Charities Inc | Accreditation | May 17, 2028 |
| 10D2190344 | Metropolitan Charities Inc | Accreditation | Nov 23, 2027 |
National Provider Directory
National Provider DirectoryLocations
302 Bryan Rd
Brandon, FL 33511
Phone 72732138541025
18167 US Highway 19 N
Ste 150
Clearwater, FL 33764
Phone (727) 220-0550
2216 34th St S
Saint Petersburg, FL 33711
2235 Central Ave
St Petersburg, FL 33713
Phone 72732138541025
11201 Corporate Cir N
Ste 140
St Petersburg, FL 33716
Phone 72732138541025
2116 34th St S
St Petersburg, FL 33711
Phone 72732138541025
625 6th Ave S
Ste 305
St Petersburg, FL 33701
2237 Central Ave
St Petersburg, FL 33713
Phone 72732138541025
11201 Corporate Cir N
St Petersburg, FL 33716
625 6th Ave S
St Petersburg, FL 33701
Phone (727) 440-4888
701 94th Ave N
Ste 250
St Petersburg, FL 33702
2112 34th St S
St Petersburg, FL 33711
3918 N Highland Ave
Tampa, FL 33603
Phone 72732138541025
1315 E 7th Ave
Tampa, FL 33605
Phone (813) 232-3808
3500 E Fletcher Ave
Ste 302
Tampa, FL 33613
Phone (813) 903-9200
Ownership & related parties
All disclosed owners & managing parties 11
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Erin Jacobs | Corporate Director | Mar 29, 2021 | |
| W-2 Managing Employee | Mar 21, 2021 | ||
| Corporate Director | Mar 21, 2021 | ||
| W-2 Managing Employee | Mar 21, 2021 | ||
| Corporate Director | Mar 29, 2023 | ||
| W-2 Managing Employee | Mar 29, 2023 | ||
| David James Valdez | Corporate Director | Apr 1, 2020 | |
| Corporate Director | Aug 1, 2021 | ||
| Corporate Director | Apr 1, 2020 | ||
| Kathleen Farriel | Corporate Director | Apr 1, 2020 | |
| Corporate Director | Aug 1, 2021 | ||
| Corporate Director | Apr 1, 2020 | ||
| Robin Doty | Corporate Director | Apr 1, 2020 | |
| Corporate Director | Aug 1, 2021 | ||
| Jorge-Luis Godinez | Corporate Director | Apr 1, 2020 | |
| Corporate Director | Aug 1, 2021 | ||
| Robert Sanders | Corporate Director | Apr 1, 2020 | |
| Corporate Director | Aug 1, 2021 | ||
| Corporate Director | Apr 1, 2020 | ||
| Corporate Director | Mar 29, 2023 | ||
| Rajwantie Rajkumar | 5% Or Greater Indirect Ownership Interest | Dec 31, 2024 | 100% |
| Corporate Officer | Apr 1, 2020 | ||
| W-2 Managing Employee | Dec 31, 2024 | 100% | |
| 5% Or Greater Direct Ownership Interest | Jan 1, 2024 | 5% | |
| Corporate Officer | Aug 1, 2021 | ||
| W-2 Managing Employee | Aug 1, 2021 | ||
| 5% Or Greater Indirect Ownership Interest | Apr 1, 2020 | 5% | |
| W-2 Managing Employee | Apr 1, 2020 | ||
| Corporate Officer | Apr 1, 2020 | 5% | |
| 5% Or Greater Indirect Ownership Interest | Apr 1, 2020 | 5% | |
| Derek Keyes | Corporate Director | Apr 1, 2020 | |
| Corporate Director | Aug 1, 2021 | ||
| Corporate Director | Apr 1, 2020 | ||
| Cindy Sullivan | Corporate Director | Aug 1, 2021 | |
| Ian Whitney | Corporate Director | Aug 1, 2021 | |
| Michael Laibe | Corporate Director | Apr 1, 2020 |
Practitioners & affiliated clinicians
Practitioners 31
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Tampa, FL
- NPI 1972020451
-
- Nurse Practitioner
- New Port Richey, FL
- NPI 1639461726
-
- Internal Medicine Physician
- Tampa, FL
- NPI 1306102983
-
- Mental Health Counselor
- St Petersburg, FL
- NPI 1285083675
-
- Family Medicine Physician
- St Petersburg, FL
- NPI 1780781591
-
- Nurse Practitioner
- St Petersburg, FL
- NPI 1316985492
-
- Family Nurse Practitioner
- St Petersburg, FL
- NPI 1942849294
-
- Internal Medicine Physician
- St Petersburg, FL
- NPI 1174569123
-
- Adult Health Nurse Practitioner
- St Petersburg, FL
- NPI 1336445469
-
- Gerontology Nurse Practitioner
- Tampa, FL
- NPI 1013687771
-
- Primary Care Nurse Practitioner
- Tampa, FL
- NPI 1114477510
-
- Family Nurse Practitioner
- Tampa, FL
- NPI 1679319685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779840000000",
"number": "1013277060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 94TH AVE N STE 250",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337022448",
"telephone_number": "727-321-3854",
"fax_number": "727-327-7670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 6TH AVE S STE 305",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337014664",
"telephone_number": "727-321-3854",
"fax_number": "727-327-7670"
}
],
"practiceLocations": [
{
"address_1": "3500 E Fletcher Ave Ste 302",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336134797",
"country_code": "US",
"telephone_number": "727-321-3854",
"fax_number": "727-327-7670",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18167 US Highway 19 N Ste 150",
"address_purpose": "LOCATION",
"city": "Clearwater",
"state": "FL",
"postal_code": "337646566",
"country_code": "US",
"telephone_number": "727-220-0550",
"fax_number": "727-339-3908",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2116 34th St S",
"address_purpose": "LOCATION",
"city": "Saint Petersburg",
"state": "FL",
"postal_code": "337113224",
"country_code": "US",
"telephone_number": "727-321-3854",
"fax_number": "727-327-7670",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2235 Central Ave",
"address_purpose": "LOCATION",
"city": "Saint Petersburg",
"state": "FL",
"postal_code": "337138844",
"country_code": "US",
"telephone_number": "727-321-3854",
"fax_number": "727-327-7670",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4747 US Highway 19",
"address_purpose": "LOCATION",
"city": "New Port Richey",
"state": "FL",
"postal_code": "346524945",
"country_code": "US",
"telephone_number": "727-321-3854",
"fax_number": "727-327-7670",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3918 N Highland Ave",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336034724",
"country_code": "US",
"telephone_number": "727-321-3854",
"fax_number": "727-327-7670",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11201 Corporate Cir N Ste 140",
"address_purpose": "LOCATION",
"city": "Saint Petersburg",
"state": "FL",
"postal_code": "337163701",
"country_code": "US",
"telephone_number": "727-321-3854",
"fax_number": "727-327-7670",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "302 Bryan Rd",
"address_purpose": "LOCATION",
"city": "Brandon",
"state": "FL",
"postal_code": "335115337",
"country_code": "US",
"telephone_number": "727-321-3854",
"fax_number": "727-327-7670",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "METROPOLITAN CHARITIES INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-24",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A",
"authorized_official_last_name": "JACOBS",
"authorized_official_first_name": "ERIN",
"authorized_official_title_or_position": "SR. DIRECTOR OF PRACTICE ADMIN",
"authorized_official_telephone_number": "727-321-3854",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015736100",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "108944500",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Metro Healthy Communities",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Metro Inclusive Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.