Individual provider Active NPI

Tiffany M. Jessee, D.O.

  • Surgery Physician
  • South Pasadena, FL
National Provider Identifier
1205830692
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
OS7737 Issued in FL
Practice address
1609 Pasasena Ave S
Suite 3M
South Pasadena, FL 33707
Phone
(727) 289-7137
Fax
(727) 498-6418
NPI assigned
Jun 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X OS7737 FL Primary

Addresses

Primary practice location

1609 Pasasena Ave S
Suite 3M
South Pasadena, FL 33707

Mailing address

1609 Pasadena Ave S Ste 2E
South Pasadena, FL 33707-4560
Phone (727) 289-7137

Other identifiers 1

IdentifierTypeStateIssuer
267547100MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address TIFFANY.JESSEE@hca4.eclinicaldirectplus.com

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080104000541 FL Practitioner - General Surgery 3870673718 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
West Virginia School of Osteopathic Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Hospital Family Practice LLCGroup PAC ID 2264595941, 44 clinicians
Greater Tampa Bay Physician Specialists LLCGroup PAC ID 2961637715, 33 clinicians

Practice addresses (Care Compare)

1345 W Bay Dr
Suite 304
Largo, FL 33770-2264
Phone (727) 587-7116

201 14TH St SW
Largo, FL 33770-3133
Phone (727) 588-5200

6000 49TH St N
St Petersburg, FL 33709-2114
Phone (727) 521-4411

602 S Audubon Ave
Suite a
Tampa, FL 33609-4217
Phone (813) 877-1415

7515 State Rd
52 Suite 102
Hudson, FL 34667-6757
Phone (727) 863-0008

Hospital & facility affiliations

  • HCA Florida Largo Hospital Hospital, Largo, FL, CCN 100248

Merit-based Incentive Payment System (MIPS)

Final score
90.95 of 100Reported as group
Quality
78.21
Promoting interoperability
100
Improvement activities
40
Cost
77.18

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS7737FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Tampa Bay Physician Specialists, LLC Surgery CurrentSince Aug 12, 2018 Accepting new patients
Community Hospital Family Practice LLC Surgery CurrentSince May 15, 2022 Accepting new patients
Tampa Bay Surgical Group, LLP Surgery CurrentSince Oct 8, 2007 Accepting new patients

Locations

7515 State Road 52
Ste 102
Hudson, FL 34667
Phone (727) 842-3322

1345 West Bay Dr
Ste 304
Largo, FL 33770
Phone (727) 490-5040

2039 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 584-7666

1609 Pasadena Ave S
Ste 2E
South Pasadena, FL 33707
Phone (727) 289-7173

1609 Pasadena Ave S
Ste 3M
South Pasadena, FL 33707
Phone (727) 289-7137

602 S Audubon Ave
Ste A
Tampa, FL 33609
Phone (813) 540-4322

11375 Cortez Blvd
Weeki Wachee, FL 34613
Phone (352) 596-4209

2318 Cypress Cv
Ste 101
Wesley Chapel, FL 33544
Phone (813) 788-5569

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 3

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1205830692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 PASADENA AVE S STE 2E",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "337074560",
            "telephone_number": "727-289-7137",
            "fax_number": "727-498-6418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 PASASENA AVE S",
            "address_2": "SUITE 3M",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "33707",
            "telephone_number": "727-289-7137",
            "fax_number": "727-498-6418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESSEE",
        "first_name": "TIFFANY",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-13",
        "last_updated": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "OS7737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267547100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TIFFANY.JESSEE@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1609 PASASENA AVE S",
            "address_2": "SUITE 3M",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Pasadena, FL

Sources for this page

Verify at the official NPI Registry.