Organization Active NPI

Paxton Medical Management

Doing business as Paxton Primary Care Clearwater

  • Family Medicine Physician
  • Clearwater, FL
National Provider Identifier
1558266841
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PAXTON MEDICAL MANAGEMENT
Doing business as
Paxton Primary Care Clearwater
Practice address
13501 Icot Blvd Ste 114
Clearwater, FL 33760-3729
Phone
(727) 275-2005
NPI assigned
Oct 8, 2026
Last updated
Oct 8, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
PAXTON MEDICAL MANAGEMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Authorized official

Name
Jeffrey S Grove, D.O.
Title
Authorized Official
Phone
(727) 275-2005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

13501 Icot Blvd Ste 114
Clearwater, FL 33760-3729

Mailing address

13501 Icot Blvd Ste 114
Clearwater, FL 33760-3729
Phone (727) 754-7880

Other names 1

  • Paxton Primary Care Clearwater Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1791417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791417600000",
    "number": "1558266841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13501 ICOT BLVD STE 114",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603729",
            "telephone_number": "727-754-7880",
            "fax_number": "727-754-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13501 ICOT BLVD STE 114",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603729",
            "telephone_number": "727-275-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAXTON MEDICAL MANAGEMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PAXTON MEDICAL MANAGEMENT",
        "enumeration_date": "2026-10-08",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A",
        "authorized_official_last_name": "GROVE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "727-275-2005",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paxton Primary Care Clearwater",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.