Organization 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
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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

Updated by the provider on May 16, 2022

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111215000768 FL Part B Supplier - Clinic/Group Practice 7214102433 Receives reassigned benefits from 3 practitioners
Practice locations: Plant City, FL; Sun City, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

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.

Verify at the official NPI Registry.