Individual provider Active NPI

Douglas F Tight, PA

  • Medical Physician Assistant
  • Palm Harbor, FL
National Provider Identifier
1376593509
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
3407 Issued in FL
Practice address
1104 Eniswood Pkwy
Palm Harbor, FL 34683-2022
Phone
(727) 459-9677
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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 3407 FL Primary

Addresses

Primary practice location

1104 Eniswood Pkwy
Palm Harbor, FL 34683-2022

Mailing address

1104 Eniswood Pkwy
Palm Harbor, FL 34683-2022
Phone (727) 459-9677

Other identifiers 1

IdentifierTypeStateIssuer
290381400MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Douglas.TightPA-C@direct.mybaycare.org Health Information Exchange (HIE) BayCare Urgent Care, LLC

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
I20040723000622 FL Practitioner - Physician Assistant 8921088535 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Urgent Care, LLC.Group PAC ID 6103841051, 91 clinicians
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians

Practice addresses (Care Compare)

18610 Fernview St
Land O Lakes, FL 34638-6212
Phone (813) 692-8080

2331 4TH St N
St Petersburg, FL 33704-2801
Phone (727) 914-8566

2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060

3351 N McMullen Booth Rd
Clearwater, FL 33761-2014
Phone (727) 314-4774

4821 US Hwy 19
Suite 5
New Port Richey, FL 34652-4259
Phone (727) 851-9650

711 S Belcher Rd
Clearwater, FL 33764-6326
Phone (727) 314-4848

Hospital & facility affiliations

  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Observation Medical Group LLC CurrentSince Oct 24, 2017 Accepting new patients
Baycare Urgent Care, LLC Current Accepting new patients
Baycare Medical Group, Inc. CurrentSince Dec 2, 2020 Accepting new patients
Adventist Health System/ Sunbelt, Inc. CurrentSince Aug 4, 2020 Accepting new patients
Adventist Health System/Sunbelt, Inc. CurrentSince Aug 4, 2020 Accepting new patients
Florida Em-I Medical Services, PA Past Accepting new patients
Baxley Emergency Physicians LLC Past Accepting new patients
Russell Emergency Physicians LLC Past Accepting new patients
Florida Em-I Medical Services PA Past Accepting new patients

Locations

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

2995 Drew St
Fl 3
Clearwater, FL 33759

4821 US Highway 19
Ste 5
New Port Richey, FL 34652
Phone (727) 851-9650

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

2331 4th St N
St Petersburg, FL 33704
Phone (727) 593-9848

1200 7th Ave N
St Petersburg, FL 33705
Phone (727) 820-7764

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: douglas.tightpa-c@direct.mybaycare.org

Organizations & group practices 12

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 1

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1376593509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 ENISWOOD PKWY",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346832022",
            "telephone_number": "727-459-9677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 ENISWOOD PKWY",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346832022",
            "telephone_number": "727-459-9677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIGHT",
        "first_name": "DOUGLAS",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "3407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290381400",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Douglas.TightPA-C@direct.mybaycare.org",
            "affiliation": "Y",
            "affiliationName": "BayCare Urgent Care, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2995 Drew St Fl 2",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337593012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

Verify at the official NPI Registry.