Individual provider Active NPI

Asimina Maria Georgiades, DC

  • Chiropractor
  • St Petersburg, FL
National Provider Identifier
1689434177
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14686 Issued in FL
Practice address
556 1St Ave N
St Petersburg, FL 33701-3702
Phone
(727) 954-5596
NPI assigned
Mar 20, 2024
Last updated
Mar 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14686 FL Primary

Addresses

Primary practice location

556 1St Ave N
St Petersburg, FL 33701-3702

Mailing address

556 1St Ave N
St Petersburg, FL 33701-3702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251030001674 FL Practitioner - Chiropractic 1850880782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3023 Eastland Blvd
Suite 101
Clearwater, FL 33761-4106

6207 S W Shore Blvd Apt
Suite 3054
Tampa, FL 33616-1659

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14686FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Radiant Wellness Center LLC CurrentSince Mar 24, 2024 Accepting new patients
Risoldi Family Chiropractic PA Chiropractor CurrentSince Oct 22, 2025 Accepting new patients

Locations

3023 Eastland Blvd
#H101
Clearwater, FL 33761
Phone (727) 797-9900

3023 Eastland Blvd
Ste 101
Clearwater, FL 33761
Phone (727) 797-9900

556 1st Ave N
St Petersburg, FL 33701
Phone (727) 954-5596

Organizations & group practices 2

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": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1689434177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 1ST AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 1ST AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013702",
            "telephone_number": "727-954-5596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGIADES",
        "first_name": "ASIMINA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "14686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.