Individual provider Active NPI

Jeffrey Ryan Carroll, A.A. - C

  • Anesthesiologist Assistant
  • New Port Richey, FL
National Provider Identifier
1730468778
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
Practice address
5424 Grand Blvd
New Port Richey, FL 34652-4008
Phone
(727) 845-1736
Fax
(727) 849-0759
NPI assigned
Aug 9, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X FL Primary

Addresses

Primary practice location

5424 Grand Blvd
New Port Richey, FL 34652-4008

Mailing address

30923 Bridgegate Dr
Wesley Chapel, FL 33545-8214
Phone (614) 271-5814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111207000790 FL Practitioner - Anesthesiology Assistant 4082889779 Reassigns benefits to 5 organizations
I20240815003142 IN Practitioner - Anesthesiology Assistant 4082889779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brevard Physician Associates PLLCGroup PAC ID 1850535048, 221 clinicians
Sheridan Healthcorp IncGroup PAC ID 3173429693, 956 clinicians
Ams National LLCGroup PAC ID 3870813025, 310 clinicians
Associated Anesthesiologists of Fort Wayne PCGroup PAC ID 2264412444, 101 clinicians

Practice addresses (Care Compare)

1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-7000

2201 45TH St
West Palm Beach, FL 33407-2047
Phone (561) 863-3804

310 SE Veranda Falls Way
Port Saint Lucie, FL 34984-2101
Phone (772) 309-8500

4023 Reas LN
New Albany, IN 47150-2228
Phone (812) 206-7660

Hospital & facility affiliations

  • CCN 100366 Hospital, CCN 100366
  • Holmes Regional Medical Center Hospital, Melbourne, FL, CCN 100019
  • Physicians' Medical Center LLC Hospital, New Albany, IN, CCN 150172
  • Baptist Health Floyd Hospital, New Albany, IN, CCN 150044

Merit-based Incentive Payment System (MIPS)

Final score
67.76 of 100Reported as group
Quality
62.07
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Sheridan Healthcorp, Inc CurrentSince May 10, 2025 Accepting new patients
Ams National LLC CurrentSince Sep 1, 2025 Accepting new patients
US Anesthesia Partners of Florida Inc. Anesthesiologist Assistant CurrentSince May 3, 2022 Accepting new patients
Associated Anesthesiologists of Fort Wayne PC Anesthesiologist Assistant CurrentSince Aug 7, 2024 Accepting new patients
Sheridan Healthcorp Inc Current Accepting new patients
Brevard Physician Associates, PLLC Anesthesiologist Assistant CurrentSince Jul 1, 2023 Accepting new patients
Bethesda Anesthesia Associates, Inc. Current Accepting new patients
Anesthesiologist Associates PA Past Accepting new patients

Locations

10301 Hagen Ranch Rd
Ste 520
Boynton Beach, FL 33437
Phone (561) 374-5550

701 W Cocoa Beach Cswy
Cocoa Beach, FL 32931
Phone (321) 799-7111

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

14104 Yosemite Dr
Hudson, FL 34667
Phone (727) 869-5040

1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

310 SE Veranda Falls Way
Port St Lucie, FL 34984
Phone (561) 800-4111

10521 SW Village Center Dr
Ste 104
Port St Lucie, FL 34987
Phone (772) 345-8600

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

2201 45th St
West Palm Beach, FL 33407
Phone (561) 842-6141

1316 E 7th St
Auburn, IN 46706
Phone (260) 925-4600

6435 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 436-7875

10315 Dawsons Creek Blvd
Ste Ab
Fort Wayne, IN 46825
Phone (219) 436-7875

4023 Reas Ln
New Albany, IN 47150
Phone (502) 690-6425

12222 Merit Dr
Ste 600
Dallas, TX 75251
Phone (972) 361-1844

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 5

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": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312848000000",
    "number": "1730468778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30923 BRIDGEGATE DR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335458214",
            "telephone_number": "614-271-5814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5424 GRAND BLVD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524008",
            "telephone_number": "727-845-1736",
            "fax_number": "727-849-0759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "JEFFREY",
        "middle_name": "RYAN",
        "credential": "A.A. - C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-09",
        "last_updated": "2011-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; 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.