Individual provider Active NPI

Tami Lynn Watkins, PA-C

  • Medical Physician Assistant
  • Largo, FL
National Provider Identifier
1033622212
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9113299 Issued in FL
Practice address
12416 66TH St Ste a
Largo, FL 33773-3430
Phone
(727) 547-4700
Fax
(727) 394-8661
NPI assigned
Nov 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9113299 FL Primary

Addresses

Primary practice location

12416 66TH St Ste a
Largo, FL 33773-3430

Mailing address

12416 66TH St Ste a
Largo, FL 33773-3430
Phone (727) 547-4700

Other names 1

  • Tami Allen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210616002438 FL Practitioner - Physician Assistant 6305246026 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9113299FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Greater Tampa Bay Physician Specialists, LLC CurrentSince Feb 1, 2026 Accepting new patients

Locations

602 S Audubon Ave
Ste A
Tampa, FL 33609
Phone (813) 540-4322

2901 W Swann Ave
Tampa, FL 33609
Phone (813) 783-6400

2318 Cypress Cv
Ste 101
Wesley Chapel, FL 33544
Phone (813) 788-5569

Interoperability endpoints

  • Direct secure messaging: tallen394008@orlandohealth.medalliesdirect.net

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": "1510272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1033622212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12416 66TH ST STE A",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337733430",
            "telephone_number": "727-547-4700",
            "fax_number": "727-394-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12416 66TH ST STE A",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337733430",
            "telephone_number": "727-547-4700",
            "fax_number": "727-394-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "TAMI",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-10",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9113299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMI",
            "last_name": "ALLEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.