Active NPI
Avianne Bunnell, MD
- Vascular Surgery Physician
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- ME140604
- Practice address
- 5880 49TH St N Ste 206
St Petersburg, FL 33709-2147 - Phone
- (727) 999-8346
- Fax
- (778) 743-4465
- NPI assigned
- Aug 3, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | ME140604 | FL | Primary |
Addresses
Primary practice location
5880 49TH St N Ste 206
St Petersburg, FL 33709-2147
Mailing address
5880 49TH St N Ste 206
St Petersburg, FL 33709-2147
Phone (727) 999-8346
Other practice location 1
169 Ashley Ave
Room 202 Main Hospital MS333
Charleston, SC 29425-8905
Phone (843) 792-3504
Other names 1
- Avianne Mills
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190617000345 | FL | Practitioner - Vascular Surgery | 1658693395 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pinellas Vascular LLC
Practice addresses (Care Compare)
3450 E Fletcher Ave
Suite 330
Tampa, FL 33613-4659
Phone (727) 999-8346
5880 49TH St N
Suite 206
St Petersburg, FL 33709-2147
Phone (727) 998-3467
6010 Park Blvd N
Pinellas Park, FL 33781-3228
Phone (727) 999-8346
Hospital & facility affiliations
- HCA Florida Northside Hospital
- HCA Florida Pasadena Hospital a Part of HCA Florid
- HCA Florida St Petersburg Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 128 |
| Leg revascularization (restoring blood flow) | 35 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME140604 | FL | MD | Vascular Surgery Physician |
Practice roles (6 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choice Health Care, Inc. | Vascular Surgery | Current | Accepting new patients |
| Tampa General Hospital | Current | Accepting new patients | |
| Pinellas Vascular LLC | Vascular Surgery | Current | Accepting new patients |
| Thomas M. Kerr MD PA | Vascular Surgery | Current | Accepting new patients |
| Florida Family Practice & Urgent Care, LLC | Past | Accepting new patients | |
| The Vein & Vascular Institute of Spring Hill, PLLC | Past | Accepting new patients |
Locations
515 Missouri Ave N
Largo, FL 33770
Phone (727) 587-6667
6010 Park Blvd N
Pinellas Park, FL 33781
Phone (727) 544-6367
13113 Spring Hill Dr
Spring Hill, FL 34609
Phone (352) 540-7527
5880 49th St N
Ste 206
St Petersburg, FL 33709
Phone (727) 526-9899
4700 N Habana Ave
Ste 201
Tampa, FL 33614
Phone (727) 527-5100
2809 W Waters Ave
Tampa, FL 33614
Phone (813) 348-9088
3450 E Fletcher Ave
Ste 330
Tampa, FL 33613
Phone (727) 999-8346
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- abunnell295932@direct.tgh.org
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- aviannebunnell@tvvi.allscriptsdirect.net
Organizations & group practices 6
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.
-
- Vascular Surgery Physician
- St Petersburg, FL
- NPI 1174173421
FL, Vascular Surgery
-
- Interventional Cardiology Physician
- Tampa, FL
- NPI 1558507582
Vascular Surgery
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Family Medicine Physician
- Tampa, FL
- NPI 1710434626
-
- Specialist
- Spring Hill, FL
- NPI 1194179796
Hospital & facility affiliations 2
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": "1375488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1285066019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5880 49TH ST N STE 206",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337092147",
"telephone_number": "727-999-8346",
"fax_number": "877-743-4465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5880 49TH ST N STE 206",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337092147",
"telephone_number": "727-999-8346",
"fax_number": "778-743-4465"
}
],
"practiceLocations": [
{
"address_1": "169 Ashley Ave",
"address_2": "Room 202 Main Hospital MS333",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294258905",
"country_code": "US",
"telephone_number": "843-792-3504",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUNNELL",
"first_name": "AVIANNE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-03",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "FL",
"license": "ME140604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AVIANNE",
"last_name": "MILLS",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.