Individual provider Active NPI

John H Phillips, PA-C

  • Medical Physician Assistant
  • Brandon, FL
National Provider Identifier
1396771234
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9101222 Issued in FL
Practice address
799 W Lumsden Rd
Brandon, FL 33511-6261
Phone
(813) 684-1199
Fax
(813) 685-2623
NPI assigned
Jun 23, 2006
Last updated
Jun 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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 PA9101222 FL Primary

Addresses

Primary practice location

799 W Lumsden Rd
Brandon, FL 33511-6261

Mailing address

799 W Lumsden Rd
Brandon, FL 33511-6261
Phone (813) 684-1199

Other practice location 1

3706 N Roosevelt Blvd Ste E&g
Key West, FL 33040-4564
Phone (305) 517-6613

Other identifiers 1

IdentifierTypeStateIssuer
120505900MedicaidFL

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
I20050628000155 FL Practitioner - Physician Assistant 9931144151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14254 Martin Luther King Blvd
Dover, FL 33527-4414
Phone (813) 653-6100

14254 Sr
Suite 574
Dover, FL 33527-4414
Phone (813) 653-6100

801 E Baker St
Plant City, FL 33563-3652
Phone (813) 653-6100

9555 E Fowler Ave
Suite 9555a
Thonotosassa, FL 33592-2139
Phone (813) 653-6100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Suncoast Community Health Centers Inc CurrentSince Nov 18, 2018 Accepting new patients
Suncoast Community Health Centers, Inc CurrentSince Nov 18, 2018 Accepting new patients
Quality Drive Emergency Physicians LLC Past Accepting new patients
Suncoast Community Health Centers Inc Past Accepting new patients
Suncoast Community Health Centers Inc Past Accepting new patients
Sabal Palm Emergency Physicians Past Accepting new patients

Locations

313 S Lakewood Dr
Brandon, FL 33511
Phone (813) 349-7900

801 E Baker St
Plant City, FL 33563
Phone (813) 349-7600

13110 Elk Mountain Dr
Riverview, FL 33579
Phone (813) 349-7567

2814 14th Ave SE
Ruskin, FL 33570
Phone (813) 349-7800

7728 Palm River Rd
Tampa, FL 33619
Phone (813) 630-3600

Organizations & group practices 6

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1396771234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "799 W LUMSDEN RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116261",
            "telephone_number": "813-684-1199",
            "fax_number": "813-685-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 W LUMSDEN RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116261",
            "telephone_number": "813-684-1199",
            "fax_number": "813-685-2623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3706 N Roosevelt Blvd Ste E&g",
            "address_purpose": "LOCATION",
            "city": "Key West",
            "state": "FL",
            "postal_code": "330404564",
            "country_code": "US",
            "telephone_number": "305-517-6613",
            "fax_number": "305-517-6617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JOHN",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9101222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120505900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.