Individual provider Active NPI

Jayson A Sack, MD

  • Neurological Surgery Physician
  • Wesley Chapel, FL
National Provider Identifier
1467687434
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME128209 Issued in FL
Practice address
2590 Healing Way Ste 210
Wesley Chapel, FL 33543-5497
Phone
(813) 782-5801
Fax
(813) 782-5732
NPI assigned
May 20, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X ME128209 FL Primary

Addresses

Primary practice location

2590 Healing Way Ste 210
Wesley Chapel, FL 33543-5497

Mailing address

2590 Healing Way Ste 210
Wesley Chapel, FL 33543-5497
Phone (813) 782-5801

Other practice location 1

428 W Brandon Blvd
Brandon, FL 33511-5002
Phone (813) 388-2948

Other practice location 2

11946 Boyette Rd
Riverview, FL 33569-5601
Phone (813) 388-2948

Other practice location 3

7550 N Dale Mabry Hwy Ste B
Tampa, FL 33614-3226
Phone (813) 388-2948

Other practice location 4

27810 Summergate Blvd
Wesley Chapel, FL 33544-6919
Phone (813) 388-2948

Other practice location 5

38011 Arbor Ridge Dr
Zephyrhills, FL 33540-1301
Phone (813) 395-5127

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jsack7589@direct.tgh.org

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170411000844 FL Practitioner - Neurosurgery 2961788708 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Michigan Medical School, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians

Practice addresses (Care Compare)

13901 Bruce B Downs Blvd
Tampa, FL 33613-3905
Phone (813) 615-7260

2590 Healing Way
Suite 210
Wesley Chapel, FL 33543-5497
Phone (813) 782-5801

2600 Bruce B Downs Blvd
Wesley Chapel, FL 33544-9207
Phone (813) 929-5436

2700 Healing Way
Wesley Chapel, FL 33543-5453

3100 E Fletcher Ave
Tampa, FL 33613-4613
Phone (813) 615-7075

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion81
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Laminectomy or laminotomy (partial removal of spine bones)33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME128209FLMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain Management Inc CurrentSince May 1, 2023 Accepting new patients
Florida Hospital Physician Group Inc CurrentSince Sep 12, 2022 Accepting new patients
Tampa General Hospital Current Accepting new patients
Advanced Pain Management Inc CurrentSince May 1, 2023 Accepting new patients

Locations

428 W Brandon Blvd
Brandon, FL 33511
Phone (813) 681-4444

325 Clyde Morris Blvd
Ste 400
Ormond Beach, FL 32174
Phone (386) 671-0600

780 Dunlawton Ave
Ste 103
Port Orange, FL 32127
Phone (386) 671-0600

11946 Boyette Rd
Riverview, FL 33569

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

7550 N Dale Mabry Hwy
Ste B
Tampa, FL 33614

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

2590 Healing Way
Ste 210
Wesley Chapel, FL 33543
Phone (813) 467-4285

27810 Summergate Blvd
Wesley Chapel, FL 33544
Phone (813) 534-6269

38011 Arbor Ridge Dr
Zephyrhills, FL 33540
Phone (813) 395-5127

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: jsack7589@direct.tgh.org
  • Direct secure messaging: jsack619657@adventhealth.direct-ci.com

Organizations & group practices 4

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 5

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": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1467687434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2590 HEALING WAY STE 210",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335435497",
            "telephone_number": "813-782-5801",
            "fax_number": "813-782-5732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2590 HEALING WAY STE 210",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335435497",
            "telephone_number": "813-782-5801",
            "fax_number": "813-782-5732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "428 W Brandon Blvd",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115002",
            "country_code": "US",
            "telephone_number": "813-388-2948",
            "fax_number": "813-388-6827",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11946 Boyette Rd",
            "address_purpose": "LOCATION",
            "city": "Riverview",
            "state": "FL",
            "postal_code": "335695601",
            "country_code": "US",
            "telephone_number": "813-388-2948",
            "fax_number": "813-574-7761",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7550 N Dale Mabry Hwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336143226",
            "country_code": "US",
            "telephone_number": "813-388-2948",
            "fax_number": "813-249-0821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27810 Summergate Blvd",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335446919",
            "country_code": "US",
            "telephone_number": "813-388-2948",
            "fax_number": "813-388-6827",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "38011 Arbor Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Zephyrhills",
            "state": "FL",
            "postal_code": "335401301",
            "country_code": "US",
            "telephone_number": "813-395-5127",
            "fax_number": "813-355-3085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SACK",
        "first_name": "JAYSON",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-20",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME128209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsack7589@direct.tgh.org",
            "affiliation": "N",
            "address_1": "1 Tampa General Cir",
            "address_2": "J402",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336063571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

Verify at the official NPI Registry.