Organization Active NPI

GTS Medical

  • Family Medicine Physician
  • South Pasadena, FL
National Provider Identifier
1033720362
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GTS MEDICAL
Practice address
6800 Gulfport Blvd S Ste 101
South Pasadena, FL 33707-2193
Phone
(727) 275-2005
Fax
(727) 498-8951
NPI assigned
Aug 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Authorized official

Name
Jeffrey Grove, DO
Title
Member
Phone
(727) 366-7343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

6800 Gulfport Blvd S Ste 101
South Pasadena, FL 33707-2193

Mailing address

8050 Seminole Blvd
Seminole, FL 33772-4808
Phone (727) 275-2005

Other names 1

  • Family Doctors of Pasadena Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201118001487 FL Part B Supplier - Clinic/Group Practice 6305257668 Receives reassigned benefits from 3 practitioners
Practice locations: South Pasadena, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2211558GTS Medical, LLC6800 Gulfport Blvd S - Ste 101, South Pasadena, FL 33707Certificate of waiverJan 27, 2027

National Provider Directory

National Provider Directory

Locations

6800 Gulfport Blvd S
Ste 101
South Pasadena, FL 33707
Phone (717) 328-3324

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1033720362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8050 SEMINOLE BLVD",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337724808",
            "telephone_number": "727-275-2005",
            "fax_number": "727-498-8951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 GULFPORT BLVD S STE 101",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "337072193",
            "telephone_number": "727-275-2005",
            "fax_number": "727-498-8951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GTS MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "GROVE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "727-366-7343",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Doctors of Pasadena",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Doctors of Pasadena",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Pasadena, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.