Individual provider Active NPI

Gregory Thomas Flynn, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Saint Petersburg, FL
National Provider Identifier
1376595652
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
ME37627 Issued in FL
Practice address
1948 Carolina Ave NE
Saint Petersburg, FL 33703-3410
Phone
(813) 465-9686
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X ME37627 FL Primary

Addresses

Primary practice location

1948 Carolina Ave NE
Saint Petersburg, FL 33703-3410

Mailing address

1948 Carolina Ave NE
Saint Petersburg, FL 33703-3410
Phone (813) 465-9686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NJ2 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
I20040628000969 FL Practitioner - Interventional Pain ManagementPractitioner - AnesthesiologyPractitioner - Emergency Medicine 5294636445 Practice locations: Saint Petersburg, FL
I20250303000239 NJ Practitioner - Pain ManagementPractitioner - Anesthesiology 5294636445 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Gabriele Jasper MD Inc CurrentSince Feb 1, 2025 Accepting new patients
Jasper Ambulatory Surgical Center LLC CurrentSince Feb 1, 2025 Accepting new patients

Locations

74 Brick Blvd
Ste 124
Brick, NJ 08723
Phone (732) 262-0700

74 Brick Blvd
Ste 121
Brick, NJ 08723
Phone (732) 262-0700

74 Brick Blvd
Bldg 3
Brick, NJ 08723
Phone (732) 262-0700

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1376595652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1948 CAROLINA AVE NE",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337033410",
            "telephone_number": "813-465-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1948 CAROLINA AVE NE",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337033410",
            "telephone_number": "813-465-9686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "GREGORY",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME37627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

Verify at the official NPI Registry.