Individual provider Active NPI

Christopher Jermyn

  • Physician Assistant
  • St Petersburg, FL
National Provider Identifier
1669331609
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9121504 Issued in FL
Practice address
218 Pasadena Ave S
St Petersburg, FL 33707-1251
Phone
(727) 345-0160
Fax
(727) 345-0100
NPI assigned
Jan 16, 2026
Last updated
May 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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 9121504 FL Primary

Addresses

Primary practice location

218 Pasadena Ave S
St Petersburg, FL 33707-1251

Mailing address

218 Pasadena Ave S
St Petersburg, FL 33707-1251
Phone (727) 345-0160

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
I20260610000267 FL Practitioner - Physician Assistant 3577034594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

218 Pasadena Ave S
St Petersburg, FL 33707-1251

515 16TH Ave NE
Saint Petersburg, FL 33704-4716

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9121504FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Care Inc CurrentSince Apr 20, 2026 Accepting new patients

Locations

218 Pasadena Ave S
St Petersburg, FL 33707
Phone (727) 345-0160

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CDDFBA/Endpoint/CDDFBA

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": "1768521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1669331609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 PASADENA AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337071251",
            "telephone_number": "727-345-0160",
            "fax_number": "727-345-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 PASADENA AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337071251",
            "telephone_number": "727-345-0160",
            "fax_number": "727-345-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERMYN",
        "first_name": "CHRISTOPHER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-01-16",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9121504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.