NPIMap

Organization Active NPI

Invictus Equity Group, LLC

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1780420091
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
INVICTUS EQUITY GROUP, LLC
Practice address
14801 Bruce B Downs Blvd FL 33613
Tampa, FL 33613-2844
Phone
(813) 971-4400
NPI assigned
Jul 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Authorized official

Name
Mr. James K Emmons
Title
Director of Operations
Phone
(727) 656-0093

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

14801 Bruce B Downs Blvd FL 33613
Tampa, FL 33613-2844

Mailing address

220 Newbury PL N
St Petersburg, FL 33716-1305
Phone (727) 656-0093

Other names 2

  • Invictus Equity Group, LLC Doing business as
  • Patient First Primary Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250626001617 FL Part B Supplier - Clinic/Group Practice 5294247912 Receives reassigned benefits from 4 practitioners
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Locations

6150 N US Highway 41
Apollo Beach, FL 33572
Phone (813) 614-0007

8250 Bryan Dairy Rd
Seminole, FL 33777
Phone (727) 544-1600

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1720137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1780420091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 NEWBURY PL N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337161305",
            "telephone_number": "727-656-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14801 BRUCE B DOWNS BLVD FL 33613",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336132844",
            "telephone_number": "813-971-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INVICTUS EQUITY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-05",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "EMMONS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "727-656-0093",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Invictus Equity Group, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Patient First Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Patient First Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.