NPIMap

Organization Active NPI

Ibis Healthcare Inc

Doing business as Gracepoint

  • Federally Qualified Health Center (FQHC)
  • Tampa, FL
National Provider Identifier
1932759149
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
IBIS HEALTHCARE INC
Doing business as
Gracepoint
Practice address
5707 N 22ND Street
Tampa, FL 33610-4350
Phone
(813) 239-8069
Fax
(813) 231-7324
NPI assigned
Sep 19, 2019
Last updated
Feb 5, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
IBIS HEALTHCARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Authorized official

Name
Roaya Tyson
Title
Ceo
Phone
(813) 239-8088

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

5707 N 22ND Street
Tampa, FL 33610-4350

Mailing address

5707 N 22ND St
Tampa, FL 33610-4350
Phone (813) 239-8069

Other names 1

  • Gracepoint Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040702000312 FL Part B Supplier - Clinic/Group Practice 2769469204 Receives reassigned benefits from 110 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tampa, FL; Lakeland, FL
O20220201000993 FL Part A Provider - Federally Qualified Health Center (FQHC) 2769469204 Practice locations: Tampa, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1932759149. Details of each certification follow.

Federally qualified health center certification: CCN 691007

Legal name
IBIS HEALTHCARE INC
Doing business as
GRACEPOINT
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 1, 2022
Last certification
Feb 1, 2022
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jun 11, 1948 in FL
Enrollment address
5707 N 22ND St
Tampa, FL 33610-4350

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Mental Health Care Inc17 organizations share this tax ID, including this one
Part of
Mental Health Care Inc

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

2208 E Henry Ave
Tampa, FL 33610
Phone (813) 239-2882

3107 N 50th St
Ste A
Tampa, FL 33619
Phone (813) 367-2316

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ibis Healthcare Inc Organization, Tampa, FL Corporation, Non-profit Operational/Managerial Control Oct 15, 2021
Other Jul 1, 1966
Doug F Arthur Individual Corporate OfficerBoard Member Oct 21, 2013
Rafael Jardon Individual Contracted Managing EmployeeCfo Oct 15, 2021 100%
Corporate OfficerCfo and 2ND Authorized Official May 3, 2021
Roaya Tyson Individual Corporate DirectorCoo, Operational/Managerial Cont Jan 4, 2015
Operational/Managerial ControlCoo Oct 15, 2021 100%
Kimberly a Obrien Individual Corporate OfficerBoard Member, Secretary/Treasur Oct 21, 2013
Raymond Sikorski Individual Corporate OfficerBoard Member Oct 21, 2013

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
GracepointTampa, FL, CCN 691009 Federally qualified health center Operational/Managerial Control Jan 1, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1932759149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5707 N 22ND ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336104350",
            "telephone_number": "813-239-8069",
            "fax_number": "813-231-7324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5707 N 22ND STREET",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336104350",
            "telephone_number": "813-239-8069",
            "fax_number": "813-231-7324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBIS HEALTHCARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IBIS HEALTHCARE INC",
        "enumeration_date": "2019-09-19",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "TYSON",
        "authorized_official_first_name": "ROAYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-239-8088"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gracepoint",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.