Todd Lavoy Williams, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9100882 Issued in FL

Practice address

5301 Avion Park Dr
Tampa, FL 33607-1416

Phone

(855) 485-3262

Fax

(813) 443-8255

NPI assigned

Feb 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Physician Assistant

Education

University of Florida College of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gulfcoast Spine Institute, LLCGroup PAC ID 0749226215, 10 clinicians

Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth North Pinellas Hospital, Tarpon Springs, FL, CCN 100055

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Gulfcoast Spine Institute, LLC

  dba BioSpine Institute

  • Orthopaedic Surgery of the Spine Physician
  • Tampa, FL
  • NPI 1639132616
  Medicare reassignment Care Compare group NPD
• TNT Enterprises of Brevard Inc.

  • Physician Assistant
  • Melbourne, FL
  • NPI 1053364919
  NPD (past) Authorized official
• Gulfcoast Spine Institute, LLC

  dba BioSpine Institute

  • Orthopaedic Surgery of the Spine Physician
  • Fort Myers, FL
  • NPI 1013334655
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Tarpon Springs Hospital Foundation Inc

  dba AdventHealth North Pinellas

  • General Acute Care Hospital
  • Tarpon Springs, FL
  • NPI 1568473015
  Care Compare affiliation

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1508831769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 W BOY SCOUT BLVD",
            "address_2": "SUITE 400",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075724",
            "telephone_number": "855-485-3262",
            "fax_number": "813-443-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 AVION PARK DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336071416",
            "telephone_number": "855-485-3262",
            "fax_number": "813-443-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TODD",
        "middle_name": "LAVOY",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9100882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00372492",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tacianna Williams
• Tanya Williams
• Tiffani Lashonda Williams, CPHT
• Tina E Williams, LCSW
• Tito Williams
• Todd Merrell Williams, DMD, MS
• Tony L Williams Jr., ATC
• Tracy Lashun Williams, COTA
• Ursula Williams
• Vaneka Williams, RN

• Physician Assistant in Tampa, FL
• Providers in Tampa, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; 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.

Verify at the official NPI Registry.