NPIMap

Organization Active NPI

Sun Country Pediatrics, PLLC

  • Pediatrics Physician
  • Spring Hill, FL
National Provider Identifier
1073821674
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
OS10247 Issued in FL
Legal business name
SUN COUNTRY PEDIATRICS, PLLC
Practice address
1221 Antilles LN
Spring Hill, FL 34606-4506
Phone
(352) 678-5246
Fax
(352) 835-7900
NPI assigned
Sep 16, 2010
Last updated
Feb 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Authorized official

Name
Dr. Michael Griffen, DONPI 1740387844
Title
Owner
Phone
(352) 678-5246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X OS10247 FL Primary

Addresses

Primary practice location

1221 Antilles LN
Spring Hill, FL 34606-4506

Mailing address

1221 Antilles LN
Spring Hill, FL 34606-4506
Phone (352) 678-5246

Other practice location 1

20646 Wilderness Lake Blvd
Land O Lakes, FL 34637-7861
Phone (813) 996-4932

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
10D2016557Sun Country Pediatrics1221 Antilles Lane, Spring Hill, FL 34606Certificate of waiverAug 31, 2027

National Provider Directory

National Provider Directory

Locations

20646 Wilderness Lake Blvd
Land O Lakes, FL 34637
Phone (813) 996-4932

1221 Antilles Ln
Spring Hill, FL 34606
Phone (352) 678-5246

8391 Omaha Cir
Spring Hill, FL 34606
Phone (352) 678-5246

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2733/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1073821674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 ANTILLES LN",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346064506",
            "telephone_number": "352-678-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 ANTILLES LN",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346064506",
            "telephone_number": "352-678-5246",
            "fax_number": "352-835-7900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20646 Wilderness Lake Blvd",
            "address_purpose": "LOCATION",
            "city": "Land O Lakes",
            "state": "FL",
            "postal_code": "346377861",
            "country_code": "US",
            "telephone_number": "813-996-4932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUN COUNTRY PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-16",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "GRIFFEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-678-5246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "OS10247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.