Individual provider Active NPI

Elizabeth Mulvey, PA-C

  • Physician Assistant
  • Sarasota, FL
National Provider Identifier
1639645294
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9111492 Issued in FL
Practice address
1901 Floyd St
Sarasota, FL 34239-2932
Phone
(941) 366-9222
Fax
(941) 365-2269
NPI assigned
Oct 22, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9111492 FL Primary

Addresses

Primary practice location

1901 Floyd St
Sarasota, FL 34239-2932

Mailing address

PO Box 863407
Orlando, FL 32886-3407
Phone (941) 917-2600

Other practice location 1

9240 Bonita Beach Rd SE Ste 1106
Bonita Springs, FL 34135-4250
Phone (239) 301-3227

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190819002551 FL Practitioner - Physician Assistant 2365770146 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Services of Zephyrhills PAGroup PAC ID 6204924921, 51 clinicians

Practice addresses (Care Compare)

1 Tampa General Cir
Tampa, FL 33606-3571
Phone (813) 844-7000

Hospital & facility affiliations

  • Tampa General Hospital Hospital, Tampa, FL, CCN 100128

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
SMH Physician Services Inc Physician Assistant CurrentSince Jan 2, 2021 Accepting new patients
Synergic Healthcare Solutions LLC CurrentSince Sep 1, 2019 Accepting new patients
Tampa General Hospital Current Accepting new patients
Emergency Services of Zephyrhills PA Physician Assistant CurrentSince Sep 27, 2025 Accepting new patients
Synergic Healthcare Solutions LLC CurrentSince Sep 1, 2019 Accepting new patients
Mark H Montgomery MD PA PastSince Jul 10, 2010 Accepting new patients
Synergic Healthcare Solutions LLC PastSince Mar 1, 2021 Accepting new patients

Locations

6182 N US Highway 41
Apollo Beach, FL 33572
Phone (352) 817-8782

799 W Lumsden Rd
Brandon, FL 33511
Phone (813) 684-1199

5464 Lithia Pinecrest Rd
Lithia, FL 33547
Phone (813) 681-2111

11406 US Highway 301 S
Riverview, FL 33578
Phone (813) 507-0540

1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565

1901 Floyd St
Sarasota, FL 34239
Phone (941) 366-9222

7601 Seminole Blvd
Seminole, FL 33772
Phone (727) 394-8442

3251 66th St N
St Petersburg, FL 33710
Phone (727) 344-3627

4505 Gunn Hwy
Tampa, FL 33624
Phone (813) 925-1900

11969 Sheldon Rd
Tampa, FL 33626
Phone (863) 381-5606

3301 W Gandy Blvd
Tampa, FL 33611
Phone (318) 925-1903

564 Channelside Dr
Tampa, FL 33602

303 W Palm Ave
Tampa, FL 33602

40545 US Highway 19 N
Tarpon Springs, FL 34689

40545 US Highway 19 N
Ste A
Tarpon Springs, FL 34689

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

5504 Gateway Blvd
Wesley Chapel, FL 33544
Phone (813) 948-5400

16521 US 301 S
Wimauma, FL 33598
Phone (813) 844-4700

200 N Bryant Ave
Ste 10
Edmond, OK 73034

Interoperability endpoints

  • Direct secure messaging: emulvey175351@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1639645294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 863407",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328863407",
            "telephone_number": "941-917-2600",
            "fax_number": "941-917-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 FLOYD ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392932",
            "telephone_number": "941-366-9222",
            "fax_number": "941-365-2269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9240 Bonita Beach Rd SE Ste 1106",
            "address_purpose": "LOCATION",
            "city": "Bonita Springs",
            "state": "FL",
            "postal_code": "341354250",
            "country_code": "US",
            "telephone_number": "239-301-3227",
            "fax_number": "239-316-4350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULVEY",
        "first_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-22",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9111492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.