Individual provider Active NPI

Avianne Bunnell, MD

  • Vascular Surgery Physician
  • St Petersburg, FL
National Provider Identifier
1285066019
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
ME140604 Issued in FL
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

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
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 3 clinicians

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 Hospital, Saint Petersburg, FL, CCN 100238
  • HCA Florida Pasadena Hospital a Part of HCA Florid Hospital, Saint Petersburg, FL, CCN 100126
  • HCA Florida St Petersburg Hospital Hospital, Saint Petersburg, FL, CCN 100180

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal128
Leg revascularization (restoring blood flow)35
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME140604FLMDVascular Surgery Physician

Practice roles (6 of 8)

OrganizationSpecialtyStatusNew patients
Choice Health Care, Inc. Vascular Surgery CurrentSince May 1, 2023 Accepting new patients
Tampa General Hospital Current Accepting new patients
Pinellas Vascular LLC Vascular Surgery CurrentSince Nov 1, 2022 Accepting new patients
Thomas M. Kerr MD PA Vascular Surgery CurrentSince Jul 1, 2019 Accepting new patients
Florida Family Practice & Urgent Care, LLC PastSince Jul 16, 2018 Accepting new patients
The Vein & Vascular Institute of Spring Hill, PLLC PastSince Nov 1, 2019 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

  • Direct secure messaging: abunnell295932@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.