Suncoast Spine and Pain Institute PLLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

SUNCOAST SPINE AND PAIN INSTITUTE PLLC

Practice address

910 Old Camp Rd Ste 180
The Villages, FL 32162-5605

Phone

(407) 680-2026

Fax

(407) 680-0911

NPI assigned

Jul 18, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Gerard Deib, MDNPI 1942535059

Title

Owner

Phone

(407) 409-1987

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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

• Gerard Deib

  • Neuroradiology Physician
  • The Villages, FL
  • NPI 1942535059
  Medicare reassignment Care Compare group NPD Authorized official
• Ajeet Singh Sodhi, M.D.

  • Neurology Physician
  • The Villages, FL
  • NPI 1417105685
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1752796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1114819620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9835 LAKE WORTH RD STE 16-143",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672300",
            "telephone_number": "407-680-2026",
            "fax_number": "407-680-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 OLD CAMP RD STE 180",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625605",
            "telephone_number": "407-680-2026",
            "fax_number": "407-680-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST SPINE AND PAIN INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-18",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "DEIB",
        "authorized_official_first_name": "GERARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-409-1987",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Neuroradiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher John Sullivan, MD
• Thomas Joseph Sullivan, MD
• Nicole Leigh Sumner, LPTA
• Sumter Place TRS
• Sumter Place TRS LLC
• Chelsey M Sundberg, APRN
• Sunshine Kidney Care LLC
• Deon Keiva-Marie Sutherland, MD
• Caroline Marie Sutton, PHARMD
• Kathleen Patricia Svagdis, PT

• Neurology Physician in The Villages, FL
• Providers in The Villages, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.