Individual provider Active NPI

CJ Devon Birge, APRN, FNP-C

  • Adult Health Nurse Practitioner
  • Lakeland, FL
National Provider Identifier
1821759457
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11017275 Issued in FL
Practice address
5325 US Hwy 98 S
Lakeland, FL 33812
Phone
(863) 937-3139
Fax
(863) 937-3147
NPI assigned
Jan 5, 2022
Last updated
Oct 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN11017275 FL Primary
Family Nurse Practitioner 363LF0000X APRN11017275 FL

Addresses

Primary practice location

5325 US Hwy 98 S
Lakeland, FL 33812

Mailing address

6406 Butternut Dr
Lakeland, FL 33813-3679

Other practice location 1

1601 W Timberlane Dr Ste 600
Plant City, FL 33566-0958
Phone (863) 937-3139

Other practice location 2

202 Howard St Ste 2
Auburndale, FL 33823-3431
Phone (863) 937-3139

Other identifiers 1

IdentifierTypeStateIssuer
113059800MedicaidFL

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220119001240 FL Practitioner - Nurse Practitioner 6709278021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vein and Vascular Experts PLLCGroup PAC ID 7618235839, 5 clinicians

Practice addresses (Care Compare)

5325 US Hwy 98 S
Lakeland, FL 33812-3333
Phone (863) 937-3139

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11017275FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vein & Vascular Experts, PLLC CurrentSince Jun 15, 2023 Accepting new patients
Plasticg LLC Past Accepting new patients

Locations

202 Howard St
Ste 2
Auburndale, FL 33823
Phone (863) 937-3139

5907 Hillside Heights Dr
Lakeland, FL 33812
Phone (863) 647-2200

1601 W Timberlane Dr
Ste 600
Plant City, FL 33566
Phone (863) 937-3139

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.

Hospital & facility affiliations 2

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": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1821759457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6406 BUTTERNUT DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338133679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 US HWY 98 S",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33812",
            "telephone_number": "863-937-3139",
            "fax_number": "863-937-3147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 W Timberlane Dr Ste 600",
            "address_purpose": "LOCATION",
            "city": "Plant City",
            "state": "FL",
            "postal_code": "335660958",
            "country_code": "US",
            "telephone_number": "863-937-3139",
            "fax_number": "863-937-3147",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 Howard St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Auburndale",
            "state": "FL",
            "postal_code": "338233431",
            "country_code": "US",
            "telephone_number": "863-937-3139",
            "fax_number": "863-937-3147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIRGE",
        "first_name": "CJ",
        "middle_name": "DEVON",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-05",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11017275",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11017275",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113059800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.