Individual provider Active NPI

Jinny Gunn, M.D.

  • Surgery Physician
  • St Petersburg, FL
National Provider Identifier
1821408287
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME125659 Issued in FL
Practice address
2191 9TH Ave N Ste 120
St Petersburg, FL 33713-7147
Phone
(727) 826-0795
Fax
(727) 258-4863
NPI assigned
May 6, 2014
Last updated
Jun 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 19742 FL
Surgery Physician 208600000X ME125659 FL Primary

Addresses

Primary practice location

2191 9TH Ave N Ste 120
St Petersburg, FL 33713-7147

Mailing address

PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0333

Other practice location 1

515 S Kings Ave # 1100
Brandon, FL 33511-6060
Phone (813) 530-4944

Other practice location 2

3268 66th St N
St Petersburg, FL 33710-1511
Phone (727) 786-0200

Other identifiers 1

IdentifierTypeStateIssuer
102186100MedicaidFL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190521003086 FL Practitioner - General SurgeryPractitioner - General Practice 0446476584 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Womens Care Florida LLCGroup PAC ID 9234031444, 324 clinicians

Practice addresses (Care Compare)

2191 9TH Ave N
Suite 120
St Petersburg, FL 33713-7147
Phone (727) 826-0795

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy49
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19742FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Care Florida LLC CurrentSince Dec 1, 2021 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Womens' Health Hospitalists, LLC CurrentSince Dec 1, 2021 Accepting new patients
Bay Surgical Specialists, LLC Surgery CurrentSince May 20, 2019 Accepting new patients

Locations

515 S Kings Ave
#1100
Brandon, FL 33511
Phone (813) 530-4944

515 S Kings Ave
Ste 1100
Brandon, FL 33511
Phone (813) 413-5213

4150 Woodlands Pkwy
Ste A
Palm Harbor, FL 34685
Phone (727) 461-2757

2191 9th Ave N
Ste 120
St Petersburg, FL 33713
Phone (727) 826-0795

2191 9th Ave N
Ste 270
St Petersburg, FL 33713
Phone (727) 357-6447

3268 66th St N
St Petersburg, FL 33710
Phone (727) 359-0925

960 7th Ave N
St Petersburg, FL 33705
Phone (727) 821-8101

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333

4602 N Armenia Ave
Ste 300
Tampa, FL 33603
Phone (813) 878-2211

4602 N Armenia Ave
Ste 303
Tampa, FL 33603
Phone (813) 530-4944

5002 W Lemon St
Tampa, FL 33609

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.694
  • Direct secure messaging: jgunn189486@orlandohealth.medalliesdirect.net
  • Direct secure messaging: jinny.gunn@wcfnf.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1821408287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748817",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748817",
            "telephone_number": "813-286-0333",
            "fax_number": "813-282-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2191 9TH AVE N STE 120",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337137147",
            "telephone_number": "727-826-0795",
            "fax_number": "727-258-4863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 S Kings Ave # 1100",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335116060",
            "country_code": "US",
            "telephone_number": "813-530-4944",
            "fax_number": "813-530-4495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3268 66th St N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337101511",
            "country_code": "US",
            "telephone_number": "727-786-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUNN",
        "first_name": "JINNY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-06",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "19742",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME125659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102186100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.