Individual provider Active NPI

Thomas Alan Jennings, M.D./PH.D.

  • Dermatology Physician
  • Sarasota, FL
National Provider Identifier
1326365735
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME163511 Issued in FL
Practice address
2001 Siesta Dr Ste 201
Sarasota, FL 34239-5200
Phone
(813) 321-1786
Fax
(813) 321-1787
NPI assigned
Apr 24, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME163511 FL Primary

Addresses

Primary practice location

2001 Siesta Dr Ste 201
Sarasota, FL 34239-5200

Mailing address

18228 N US Highway 41
Lutz, FL 33549-4400
Phone (813) 321-1786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150521000342 AR Practitioner - Dermatology 9234353764 Reassigns benefits to 2 organizations
I20230717002474 FL Practitioner - Dermatology 9234353764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Arkansas College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suncoast Skin SolutionsGroup PAC ID 7416018221, 102 clinicians
Little Rock Dermatology Clinic P.a.Group PAC ID 4789624347, 7 clinicians

Practice addresses (Care Compare)

3443 Tamiami TRL
Suite 1a
Port Charlotte, FL 33952-8159
Phone (813) 321-1786

500 S University Ave
Suite 301
Little Rock, AR 72205-5307
Phone (501) 664-4161

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision82
Removal of tissue1-10
Removal of skin lesions896
Removal of skin cancer292
Removal of nail tissue1-10
Skin biopsy219

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince Jul 1, 2015 Accepting new patients
University of Arkansas for Medical Sciences Dermatology CurrentSince Jul 1, 2015 Accepting new patients
Suncoast Skin Solutions Dermatology CurrentSince Jul 6, 2023 Accepting new patients
Douglas K Pierce MD PA PastSince Jul 6, 2023 Accepting new patients

Locations

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

2467 Enterprise Rd
Ste A
Clearwater, FL 33763
Phone (727) 350-2949

4651 Van Dyke Rd
Lutz, FL 33558

18228 N US Highway 41
Lutz, FL 33549

3443 Tamiami Trl
Ste 1A
Port Charlotte, FL 33952

25097 Olympia Ave
Ste 202
Punta Gorda, FL 33950
Phone (941) 205-3376

2001 Siesta Dr
Ste 201
Sarasota, FL 34239
Phone (941) 365-5582

5825 US 27 N
Sebring, FL 33870
Phone (863) 314-0001

11200 Seminole Blvd
Ste 205
Seminole, FL 33778
Phone (727) 820-1786

Networks

  • Freedom Health HMO Network

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1326365735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18228 N US HIGHWAY 41",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335494400",
            "telephone_number": "813-321-1786",
            "fax_number": "813-321-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SIESTA DR STE 201",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342395200",
            "telephone_number": "813-321-1786",
            "fax_number": "813-321-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "THOMAS",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D./PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-24",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME163511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.