Tabitha Charleston Stanley, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9107584 Issued in FL

Practice address

3444 Lithia Pinecrest Rd
Valrico, FL 33596-6301

Phone

(813) 643-9393

NPI assigned

Oct 29, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tampa General Medical Group IncGroup PAC ID 7416253828, 353 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
• Direct secure messaging: tstanley305574@direct.tgh.org

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.

• Tampa General Medical Group Inc

  • Surgery Physician
  • Tampa, FL
  • NPI 1043557853
  Medicare reassignment Care Compare group
• Sunrise Urgent Care Associates LLC

  • Emergency Medicine Physician
  • Riverview, FL
  • NPI 1750433678
  Medicare reassignment
• Synergic Healthcare Solutions LLC

  • Urgent Care Clinic/Center
  • Tampa, FL
  • NPI 1063718013
  Medicare reassignment
• Tampa General Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1124558929
  NPD
• Tampa General Medical Group Inc

  • Cardiovascular Disease Physician
  • Sun City Center, FL
  • NPI 1144910316
  NPD
• Tampa General Medical Group Inc

  • Family Medicine Physician
  • Wesley Chapel, FL
  • NPI 1699182998
  NPD
• Jr Medical Group LLC

  • Family Nurse Practitioner
  • Riverview, FL
  • NPI 1447029632
  NPD (past)
• Sunrise Urgent Care Associate LLC

  • Urgent Care Clinic/Center
  • Valrico, FL
  • NPI 1639567613
  NPD (past)
• Tampa General Medical Group Inc

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1164769063
  NPD (past)

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1821426883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 E EMMA ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336034143",
            "telephone_number": "407-580-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3444 LITHIA PINECREST RD",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335966301",
            "telephone_number": "813-643-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "TABITHA",
        "middle_name": "CHARLESTON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-29",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9107584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Southworth, RDN
• Spectrum Behavioral Solutions of Tampa
• Bethany Ann Spencer, M.A., CCC-SLP
• Carrie Ann Springer, PH.D.
• Islaine St Vil, LCSW
• Bridget R Stanton
• Rhonda Lynn Starks
• Ovia Voncile Stephens-Oatman
• Hannah Stephens
• Stepwise Enrichment Center LLC

• Physician Assistant in Valrico, FL
• Providers in Valrico, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.