Individual provider Active NPI

Janice Alexandra Summers, MD

  • Family Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1942318191
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME100829 Issued in FL
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME100829FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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 PastSince May 1, 2020 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.

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

Sources for this page

Verify at the official NPI Registry.