Active NPI
Janice Alexandra Summers, MD
- Family Medicine Physician
- St Petersburg, FL
National Provider Identifier
1942318191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME100829
- Practice address
- 5015 4TH St N Ste B
St Petersburg, FL 33703-2945 - Phone
- (727) 709-5058
- Fax
- (727) 954-4633
- NPI assigned
- Aug 28, 2006
- Last updated
- Oct 24, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME100829 | FL | Primary |
Addresses
Primary practice location
5015 4TH St N Ste B
St Petersburg, FL 33703-2945
Mailing address
5015 4TH St N
St Petersburg, FL 33703-2945
Phone (727) 709-5058
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240627000978 | FL | Practitioner - Family Practice | 7416998919 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME100829 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Truescan MRI LLC | Family Medicine | Current | Accepting new patients |
| South Tampa Medical Associates Inc | Past | Accepting new patients | |
| Park Family Health Care, P.C. | Family Medicine | Past | Accepting new patients |
| South Tampa Medical Group PA | Past | Accepting new patients |
Locations
5015 4th St N
St Petersburg, FL 33703
Phone (727) 522-8838
5015 4th St N
Ste B
St Petersburg, FL 33703
Phone (727) 709-5058
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698105600000",
"number": "1942318191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5015 4TH ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337032945",
"telephone_number": "727-709-5058",
"fax_number": "727-954-4633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5015 4TH ST N STE B",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337032945",
"telephone_number": "727-709-5058",
"fax_number": "727-954-4633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMERS",
"first_name": "JANICE",
"middle_name": "ALEXANDRA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-28",
"last_updated": "2023-10-24",
"certification_date": "2023-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME100829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
- Lauren Sullivan
- Matthew Burton Sullivan, MS CCC SLP
- Sumilang Investement Group, LLC (Angel Care Assisted Living Facility)
- Celeste Elaine Summer, OTR
- Summers Anti-Aging Center LLC
- Summit Living LLC
- Summit Path Mental Health Limited Liability Company
- Alexandra Christine Summitt, D.N.P.
- Nancy Virginia Summitt, CRNA
- Richard Ellis Sumner, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.