Jesse Tippett, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME93868 Issued in FL

Practice address

1807 Short Branch Dr
Suite 102
Trinity, FL 34655-4415

Phone

(727) 376-3547

NPI assigned

Sep 6, 2006

Last updated

Feb 28, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Eastern Virginia Medical School, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sports and Orthopedic Rehabilitation Services IncGroup PAC ID 0840104253, shared by 4 NPIs, 314 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Trinity Hospital Hospital, Trinity, FL, CCN 100191
• Adventhealth North Pinellas Hospital, Tarpon Springs, FL, CCN 100055

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GDDDAA/Endpoint/GDDDAA
• Direct secure messaging: jesse.tippett.1@21055.direct.athenahealth.com

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.

• Trinity Family and Sports Medicine PA

  • Sports Medicine (Family Medicine) Physician
  • Trinity, FL
  • NPI 1891991238
  Medicare reassignment NPD Authorized official
• Bayfront Enterprises Inc

  dba Bayfront Convenient Care Clinics

  • Urgent Care Clinic/Center
  • St Petersburg, FL
  • NPI 1710963236
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• New Port Richey Hospital Inc

  dba HCA Florida Trinity Hospital

  • General Acute Care Hospital
  • Trinity, FL
  • NPI 1891741849
  Care Compare affiliation
• Tarpon Springs Hospital Foundation Inc

  dba AdventHealth North Pinellas

  • General Acute Care Hospital
  • Tarpon Springs, FL
  • NPI 1568473015
  Care Compare affiliation

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1083717862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 SHORT BRANCH DR",
            "address_2": "SUITE 102",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554415",
            "telephone_number": "727-376-3547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 SHORT BRANCH DR",
            "address_2": "SUITE 102",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554415",
            "telephone_number": "727-376-3547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIPPETT",
        "first_name": "JESSE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME93868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Center for Internal Medicine Inc
• The Center for Internal Medicine, Inc
• Thomas E. Carson, MD, PA (Carson Family Care Center)
• Joyce M Thomas, MD
• Ariana Tiberi, MD
• TLC Companions of Trinity
• TLC Transportation Services, Inc.
• Lauren M Topp, DNP, APRN, FNP-BC
• Torbert Emergency Physicians LLC
• Wanda I Torres-Oyala, MD

• Family Medicine Physician in Trinity, FL
• Providers in Trinity, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.