Individual provider Active NPI

Henry Owens, PA-C

  • Physician Assistant
  • St Petersburg, FL
National Provider Identifier
1386085827
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9107320 Issued in FL
Practice address
5080 42ND Ave N
Saint Petersburg, FL 33709-5718
Phone
(305) 926-6025
NPI assigned
Jul 12, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9107320 FL Primary

Addresses

Primary practice location

5080 42ND Ave N
Saint Petersburg, FL 33709-5718

Mailing address

5080 42ND Ave N
Saint Petersburg, FL 33709-5718
Phone (305) 926-6025

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
I20130910000655 FL Practitioner - Physician Assistant 0547404709 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9107320FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of Pinellas Inc. CurrentSince Aug 19, 2013 Accepting new patients
Community Health Centers of Pinellas Inc. CurrentSince Aug 19, 2013 Accepting new patients

Locations

707 Druid Rd E
Clearwater, FL 33756
Phone (727) 441-8963

14100 58th St N
Ste 100
Clearwater, FL 33760
Phone (727) 286-6224

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1386085827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 42ND AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337095718",
            "telephone_number": "305-926-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5080 42ND AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337095718",
            "telephone_number": "305-926-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "HENRY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-12",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9107320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.