Organization Active NPI

TNT Medical Surgical Group Inc

  • Surgical Physician Assistant
  • Saint Johns, FL
National Provider Identifier
1376059352
Registry record updated Sep 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9106954 Issued in FL
Legal business name
TNT MEDICAL SURGICAL GROUP INC
Practice address
450 State Road 13 Ste 106
Saint Johns, FL 32259-3863
Phone
(440) 941-5325
Fax
(855) 811-3450
NPI assigned
Dec 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2018

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

Authorized official

Name
Antonio Mills, PA-CNPI 1073728705
Title
President
Phone
(216) 406-7173

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X PA9106954 FL Primary

Addresses

Primary practice location

450 State Road 13 Ste 106
Saint Johns, FL 32259-3863

Mailing address

450 State Road 13 Ste 106
Saint Johns, FL 32259-3863
Phone (440) 941-5325

National Provider Directory

National Provider Directory

Locations

2050 Professional Center Dr
#D
Orange Park, FL 32073
Phone (904) 272-2550

Practitioners & affiliated clinicians

Practitioners 2

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": "1514419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537142400000",
    "number": "1376059352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 STATE ROAD 13 STE 106",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322593863",
            "telephone_number": "440-941-5325",
            "fax_number": "855-811-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 STATE ROAD 13 STE 106",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322593863",
            "telephone_number": "440-941-5325",
            "fax_number": "855-811-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TNT MEDICAL SURGICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-28",
        "last_updated": "2018-09-17",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-406-7173",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9106954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Johns, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.