Individual provider Active NPI

Amanda R Lipscomb, PA-C

  • Medical Physician Assistant
  • Clearwater, FL
National Provider Identifier
1316207186
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9106548 Issued in FL
Practice address
1305 S Fort Harrison Ave
Suite E
Clearwater, FL 33756-3301
Phone
(727) 631-0917
Fax
(727) 631-0916
NPI assigned
May 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9106548 FL Primary

Addresses

Primary practice location

1305 S Fort Harrison Ave
Suite E
Clearwater, FL 33756-3301

Mailing address

1305 S Fort Harrison Ave Ste E
Clearwater, FL 33756-3301
Phone (727) 631-0917

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120614000135 FL Practitioner - Physician Assistant 0547424079 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Digestive Health Specialists, LLPGroup PAC ID 6507054582, 86 clinicians

Practice addresses (Care Compare)

11912 Sheldon Rd
Tampa, FL 33626-3643
Phone (813) 920-8882

1305 S Fort Harrison Ave
Suite E
Clearwater, FL 33756-3301
Phone (727) 631-0915

1305 S Fort Harrison Ave E
Bay Area Gastro Specialists
Clearwater, FL 33756-3301
Phone (727) 631-0915

1886 59TH St W
Bradenton, FL 34209-4630
Phone (941) 794-1980

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9106548FLMDMedical Physician Assistant

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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

Hospital & facility affiliations 3

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": "1337904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1316207186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 S FORT HARRISON AVE STE E",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563301",
            "telephone_number": "727-631-0917",
            "fax_number": "727-631-0916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 S FORT HARRISON AVE",
            "address_2": "SUITE E",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563301",
            "telephone_number": "727-631-0917",
            "fax_number": "727-631-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPSCOMB",
        "first_name": "AMANDA",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-25",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9106548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.