Individual provider Active NPI

George Michael Northrup, M.D.

  • Specialist
  • Tampa, FL
National Provider Identifier
1629006507
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME82344 Issued in FL
Practice address
5100 W Kennedy Blvd Ste 160
Tampa, FL 33609-1817
Phone
(813) 350-9500
Fax
(813) 350-9544
NPI assigned
Jun 29, 2006
Last updated
Nov 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME82344 FL Primary
Psychiatry Physician 2084P0800X ME82344 FL

Addresses

Primary practice location

5100 W Kennedy Blvd Ste 160
Tampa, FL 33609-1817

Mailing address

5100 W Kennedy Blvd Ste 160
Tampa, FL 33609-1817
Phone (813) 350-9500

Other practice location 1

7500 Cypress Gardens Blvd
Winter Haven, FL 33884-3200
Phone (863) 875-6063

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
I20040707000178 FL Practitioner - Psychiatry 0840277927 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of South Florida College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Solace Behavioral Health LLCGroup PAC ID 1254584667, 17 clinicians

Practice addresses (Care Compare)

5100 W Kennedy Blvd
Suite 160
Tampa, FL 33609-1817
Phone (813) 935-4145

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME82344FLMDSpecialist
ME32703FLMDOtolaryngology/Facial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Solace Behavioral Health, LLC Psychiatry CurrentSince Jun 2, 2023 Accepting new patients
Solace Behavioral Health, LLC Psychiatry Current Accepting new patients
Baycare Behavioral Health Centers, Inc Past Accepting new patients
Practitioners Alliance Behavioral PastSince Jan 21, 2022 Accepting new patients
Susan V Sims, LLC Past Accepting new patients
Kap Wellness Center Inc Past Accepting new patients

Locations

17222 Hospital Blvd
Ste 120
Brooksville, FL 34601
Phone 3522770300 ext. 308

4800 Rowan Rd
New Prt Rchy, FL 34653
Phone (727) 483-5912

5100 W Kennedy Blvd
Ste 160
Tampa, FL 33609
Phone (813) 350-9500

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: geno0234@yourcarecommunity.org

Organizations & group practices 7

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1629006507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 W KENNEDY BLVD STE 160",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091817",
            "telephone_number": "813-350-9500",
            "fax_number": "813-350-9544"
        },
        {
            "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": "813-350-9500",
            "fax_number": "813-350-9544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7500 Cypress Gardens Blvd",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338843200",
            "country_code": "US",
            "telephone_number": "863-875-6063",
            "fax_number": "863-875-6063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORTHRUP",
        "first_name": "GEORGE",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME82344",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME82344",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.