Individual provider Active NPI

Robert Terrell Wilkins, M.D.

  • Psychiatry Physician
  • Tampa, FL
National Provider Identifier
1528168770
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME 97063 Issued in FL
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190923001409 FL Practitioner - Psychiatry 0941530604 Reassigns benefits to 1 organization

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
Personal Recovery Network LLCGroup PAC ID 5092611384, 612 clinicians

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

LicenseStateTypeSpecialty
ME 97063FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Recovery Network LLC Psychiatry CurrentSince May 2, 2020 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.