Atlantis Clinic PA

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ATLANTIS CLINIC PA

Practice address

1500 N McMullen Booth Rd Ste A1
Clearwater, FL 33759-2541

Phone

(727) 266-1266

NPI assigned

May 28, 2024

Organization subpart

No

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

Authorized official

Name

Howard Nelson Chipman, MDNPI 1417956293

Title

Medical Director

Phone

(813) 476-2321

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Atlantis Clinic PA

  • General Practice Physician
  • St Petersburg, FL
  • NPI 1033959051

  O20080610000346

  Same enrollment
• Atlantis Clinic PA

  • General Practice Physician
  • Oldsmar, FL
  • NPI 1417957325

  O20080610000346

  Same enrollment

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

CLIA laboratory certificates

Locations

Practitioners 6

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

• Howard N Chipman III, M.D.

  • Family Medicine Physician
  • Oldsmar, FL
  • NPI 1417956293
  NPD Authorized official
• Jacquelyn Gianni, RN

  • Family Nurse Practitioner
  • Dunedin, FL
  • NPI 1073149761
  NPD
• Catherine Lebeau, PA-C

  • Physician Assistant
  • Englewood, FL
  • NPI 1033973946
  NPD
• Jennifer Lynn Parker, APRN

  • Family Nurse Practitioner
  • Spring Hill, FL
  • NPI 1811563968
  NPD
• Sean Worix, PA-C

  • Physician Assistant
  • Oldsmar, FL
  • NPI 1831886001
  NPD
• Julie E Smith, PA-C

  • Physician Assistant
  • Huntsville, AL
  • NPI 1568854024
  NPD

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1194565119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N MCMULLEN BOOTH RD STE A1",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337592541",
            "telephone_number": "727-266-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N MCMULLEN BOOTH RD STE A1",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337592541",
            "telephone_number": "727-266-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIS CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "CHIPMAN",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "813-476-2321",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.