Active NPI
John H Phillips, PA-C
- Medical Physician Assistant
- Brandon, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9101222
- 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, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 120505900 | Medicaid | FL |
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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suncoast Community Health Centers Inc | Current | Accepting new patients | |
| Suncoast Community Health Centers, Inc | Current | 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.
-
dba Ruskin Health Center
- Federally Qualified Health Center (FQHC)
- Ruskin, FL
- NPI 1285644799
-
dba Wimauma Community Health Center
- Federally Qualified Health Center (FQHC)
- Wimauma, FL
- NPI 1518388354
-
- Emergency Medicine Physician
- Spring Hill, FL
- NPI 1093998833
-
- Emergency Medicine Physician
- Dade City, FL
- NPI 1205023595
-
- Federally Qualified Health Center (FQHC)
- Ruskin, FL
- NPI 1104836600
-
dba Tom Lee Community Health Center
- Federally Qualified Health Center (FQHC)
- Dover, FL
- NPI 1144230640
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
- Sharon Phelps
- Tara Ann Philbin, APRN
- Philip J Fauerbach, LMHC
- Jain Philip
- James Robert Phillips, L.M.H.C.
- Kimberly Ann Phillips, M.D.
- Phoenix Programs of Florida, Inc. (Phoenix Houses of Florida)
- Physicians for a Community United for Research and Ecudation LLC (Cyberknife Cancer Center at Brandon Regional Hospital)
- Physicians for a Community United for Research and Education LLC (Tampa Bay Cancer Center)
- Physicians Professional Alliance, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.