Active NPI
Robert Terrell Wilkins, M.D.
- Psychiatry Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME 97063
- Practice address
- 5100 W Kennedy Blvd Ste 160
Tampa, FL 33609-1817 - Phone
- (813) 935-4145
- Fax
- (813) 935-0550
- NPI assigned
- Sep 25, 2006
- Last updated
- Aug 21, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME 97063 | FL | Primary |
Addresses
Primary practice location
5100 W Kennedy Blvd Ste 160
Tampa, FL 33609-1817
Mailing address
13961 Long Lake LN
Port Charlotte, FL 33953-5675
Phone (941) 613-1911
Other practice location 1
930 Alicia Rd
Lakeland, FL 33801-2104
Phone (727) 483-5912
Other practice location 2
4800 Rowan Rd
New Port Richey, FL 34653-5609
Phone (727) 483-5912
Other practice location 3
17222 Hospital Blvd Ste 226
Brooksville, FL 34601-8925
Phone (352) 678-5550
Other practice location 4
4161 Tamiami Trl
Port Charlotte, FL 33952-9204
Phone (941) 235-2710
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of South Carolina School of Medicine, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
14499 N Dale Mabry Hwy
Suite 130 S
Tampa, FL 33618-2078
Phone (813) 530-1414
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 97063 | FL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Personal Recovery Network LLC | Psychiatry | Current | Accepting new patients |
Locations
615 Oakfield Dr
Brandon, FL 33511
Phone (813) 565-3322
930 Alicia Rd
Lakeland, FL 33801
Phone (863) 680-1950
260 Lookout Pl
Ste 202
Maitland, FL 32751
Phone (407) 537-9450
14499 N Dale Mabry Hwy
Ste 130S
Tampa, FL 33618
Phone (813) 530-1414
250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685
Interoperability endpoints
- fbh.robertwilkins@141363.advancedmd-direct.com
Organizations & group practices 1
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 LifeStance Health
- Psychiatry Physician
- Stockbridge, GA
- NPI 1881990869
FL
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566345600000",
"number": "1528168770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13961 LONG LAKE LN",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339535675",
"telephone_number": "941-613-1911",
"fax_number": "941-235-2712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 W KENNEDY BLVD STE 160",
"city": "TAMPA",
"state": "FL",
"postal_code": "336091817",
"telephone_number": "813-935-4145",
"fax_number": "813-935-0550"
}
],
"practiceLocations": [
{
"address_1": "930 Alicia Rd",
"address_purpose": "LOCATION",
"city": "Lakeland",
"state": "FL",
"postal_code": "338012104",
"country_code": "US",
"telephone_number": "727-483-5912",
"fax_number": "727-376-3652",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4800 Rowan Rd",
"address_purpose": "LOCATION",
"city": "New Port Richey",
"state": "FL",
"postal_code": "346535609",
"country_code": "US",
"telephone_number": "727-483-5912",
"fax_number": "727-376-3652",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17222 Hospital Blvd Ste 226",
"address_purpose": "LOCATION",
"city": "Brooksville",
"state": "FL",
"postal_code": "346018925",
"country_code": "US",
"telephone_number": "352-678-5550",
"fax_number": "352-678-5551",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4161 Tamiami Trl",
"address_purpose": "LOCATION",
"city": "Port Charlotte",
"state": "FL",
"postal_code": "339529204",
"country_code": "US",
"telephone_number": "941-235-2710",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILKINS",
"first_name": "ROBERT",
"middle_name": "TERRELL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2019-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME 97063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.