Active NPI
Verimed Health Group Suncity, LLC
Doing business as dba veriMED Health Group, Sun City
- Primary Care Clinic/Center
- Sun City Center, FL
National Provider Identifier
1255628624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- VERIMED HEALTH GROUP SUNCITY, LLC
- Doing business as
- dba veriMED Health Group, Sun City
- Practice address
- 139 S Pebble Beach Blvd
Suite 207
Sun City Center, FL 33573-5799 - Phone
- (813) 415-5038
- NPI assigned
- Jul 6, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tammy D Watson
- Title
- Billing Supervisor
- Phone
- (813) 324-9463
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
139 S Pebble Beach Blvd
Suite 207
Sun City Center, FL 33573-5799
Mailing address
139 S Pebble Beach Blvd
Suite 207
Sun City Center, FL 33573-5799
Phone (813) 415-5038
Other names 1
- dba veriMED Health Group, Sun City
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Tampa, FL
- NPI 1801052485
-
- Internal Medicine Physician
- Sun City Center, FL
- NPI 1487085254
-
- Primary Care Nurse Practitioner
- Sun City Center, FL
- NPI 1881015519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652659200000",
"number": "1255628624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 S PEBBLE BEACH BLVD",
"address_2": "SUITE 207",
"city": "SUN CITY CENTER",
"state": "FL",
"postal_code": "335735799",
"telephone_number": "813-415-5038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 S PEBBLE BEACH BLVD",
"address_2": "SUITE 207",
"city": "SUN CITY CENTER",
"state": "FL",
"postal_code": "335735799",
"telephone_number": "813-415-5038"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VERIMED HEALTH GROUP SUNCITY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-06",
"last_updated": "2022-05-16",
"certification_date": "2022-05-16",
"status": "A",
"authorized_official_last_name": "WATSON",
"authorized_official_first_name": "TAMMY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "BILLING SUPERVISOR",
"authorized_official_telephone_number": "813-324-9463"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "dba veriMED Health Group, Sun City",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sun City Center, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; 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.