Angela Y Ross-Johnson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME99356 Issued in FL

Practice address

3854 Britton PLZ
Tampa, FL 33611-1406

Phone

(813) 837-2814

Fax

(813) 839-4336

NPI assigned

Jul 26, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 2

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

Specialty

Family Practice

Education

Emory University School of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: angela.ross-johnson.1@29601.direct.athenahealth.com
• Direct secure messaging: angela.ross-johnson.2@29601.direct.athenahealth.com

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.

• Conviva Medical Center Management LLC

  dba Conviva Care Center

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1649324278

  Family Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1861492498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262051",
            "telephone_number": "305-500-2027",
            "fax_number": "305-500-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3854 BRITTON PLZ",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336111406",
            "telephone_number": "813-837-2814",
            "fax_number": "813-839-4336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4340 W Hillsborough Ave Ste 20",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336145560",
            "country_code": "US",
            "telephone_number": "813-425-8970",
            "fax_number": "877-531-4828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "228 W Alexander St",
            "address_purpose": "LOCATION",
            "city": "Plant City",
            "state": "FL",
            "postal_code": "335637157",
            "country_code": "US",
            "telephone_number": "813-754-5480",
            "fax_number": "877-285-9902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21507 Village Lakes Shopping Ctr Dr",
            "address_purpose": "LOCATION",
            "city": "Land O Lakes",
            "state": "FL",
            "postal_code": "346395101",
            "country_code": "US",
            "telephone_number": "813-949-4224",
            "fax_number": "866-372-2717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS-JOHNSON",
        "first_name": "ANGELA",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME99356",
            "primary": true
        },
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "AL",
            "license": "13200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000019820",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "ME 99356",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "angela.ross-johnson.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "angela.ross-johnson.1@29601.direct.athenahealth.com",
            "address_1": "3854 Britton Plz",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336111406",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "angela.ross-johnson.2@29601.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "angela.ross-johnson.2@29601.direct.athenahealth.com",
            "address_1": "3854 Britton Plz",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336111406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Madelene Roserie-Hargrove, LMHC
• Jonathan A Rosero, MA
• Jessica Rosi, PT
• Taylor N Rosicka
• Roskamp Foundation Irrv TR (Roskmap Institute)
• Amari Ross
• Amy Simon Ross, MD
• Ann Elizabeth Ross, FNP-BC
• Chelsey Ross
• Chia Choe Ross, CRNA

• Family Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.