Individual provider Active NPI

Casey T Woods, P.A.-C

  • Medical Physician Assistant
  • St Petersburg, FL
National Provider Identifier
1063738557
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9105335 Issued in FL
Practice address
870 77TH Ave N Ste 1
St Petersburg, FL 33702-5240
Phone
(727) 821-3600
Fax
(727) 821-3611
NPI assigned
Apr 9, 2010
Last updated
Nov 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9105335 FL Primary
Surgical Physician Assistant 363AS0400X PA9105335 FL

Addresses

Primary practice location

870 77TH Ave N Ste 1
St Petersburg, FL 33702-5240

Mailing address

870 77TH Ave N Ste 1
St Petersburg, FL 33702-5240
Phone (727) 895-8131

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
I20100603000548 FL Practitioner - Physician Assistant 5294864039 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christopher G Nelson MD PAGroup PAC ID 7416960034, 4 clinicians

Practice addresses (Care Compare)

350 6TH St S
St Petersburg, FL 33701-4449
Phone 72789581311

870 77TH Ave N
Suite 1
St Petersburg, FL 33702-5240
Phone (727) 821-3600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9105335FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher G. Nelson, M.D., P.a. CurrentSince Nov 1, 2025 Accepting new patients

Locations

350 6th St S
St Petersburg, FL 33701
Phone (727) 895-8131

870 77th Ave N
Ste 1
St Petersburg, FL 33702
Phone (727) 821-3600

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1063738557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 77TH AVE N STE 1",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337025240",
            "telephone_number": "727-895-8131",
            "fax_number": "727-821-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 77TH AVE N STE 1",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337025240",
            "telephone_number": "727-821-3600",
            "fax_number": "727-821-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "CASEY",
        "middle_name": "T",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-09",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9105335",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9105335",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.