Individual provider Active NPI

George Michael Antaki, MD

  • Diagnostic Radiology Physician
  • Tampa, FL
National Provider Identifier
1962479964
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
57756 Issued in TN
Practice address
100 South Ashley Drive
Suite 1500
Tampa, FL 33602-5318
Phone
(813) 899-6220
Fax
(813) 985-8006
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X ME94061 FL
Diagnostic Radiology Physician 2085R0202X ME94061 FL
Diagnostic Radiology Physician 2085R0202X 57756 TN Primary

Addresses

Primary practice location

100 South Ashley Drive
Suite 1500
Tampa, FL 33602-5318

Mailing address

100 South Ashley Drive
Suite 1500
Tampa, FL 33602-5318
Phone (813) 899-6220

Other identifiers 1

IdentifierTypeStateIssuer
273649700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050915000635 FL Practitioner - Diagnostic Radiology 6901797844 Reassigns benefits to 6 organizations
I20221128001462 MS Practitioner - Diagnostic Radiology 6901797844 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Columbia University College of Physicians and Surgeons, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SMB Radiology P a 22 clinicians

Practice addresses (Care Compare)

15200 Community Rd
Gulfport, MS 39503-3085
Phone (228) 575-7500

2806 Meadowview CT
Tarpon Springs, FL 34688-7364
Phone (228) 762-1353

Hospital & facility affiliations

  • Memorial Hospital at Gulfport Hospital, Gulfport, MS, CCN 250019
  • Singing River Gulfport Hospital, Gulfport, MS, CCN 250123
  • Memorial Hospital Biloxi Hospital, Biloxi, MS, CCN 250007
  • Singing River Health System Hospital, Pascagoula, MS, CCN 250040
  • Ochsner Medical Center-Hancock Hospital, Bay Saint Louis, MS, CCN 250162

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME94061FLMDDiagnostic Radiology Physician
57756TNMDDiagnostic Radiology Physician

Practice roles (22 of 24)

OrganizationSpecialtyStatusNew patients
Tower Imaging LLC Diagnostic Radiology Current Accepting new patients
Florida Diagnostic Imaging Center Inc Diagnostic Radiology CurrentSince Jun 29, 2021 Accepting new patients
Sheridan Radiology Services of Pinellas, Inc. Diagnostic Radiology Current Accepting new patients
Tower Imaging LLC Diagnostic Radiology CurrentSince Mar 1, 2020 Accepting new patients
Shi Specialists LLC Body Imaging CurrentSince May 1, 2025 Accepting new patients
Florida Diagnostic Imaging Center Inc Diagnostic Radiology CurrentSince Jun 15, 2021 Accepting new patients
Tower Imaging LLC Diagnostic Radiology CurrentSince Mar 1, 2020 Accepting new patients
Medical Technology Transfer Corporation CurrentSince Aug 5, 2020 Accepting new patients
Mississippi Hma Hospitalists, LLC Diagnostic Radiology CurrentSince Jul 4, 2025 Accepting new patients
Mori Bean and Brooks Inc Body Imaging CurrentSince Mar 19, 2020 Accepting new patients
Medical Technology Transfer Corporation Current Accepting new patients
Largo Radiology Consultants Past Accepting new patients
Laurel Medical Imaging Assoc Diagnostic Radiology Past Accepting new patients
Central Florida Imaging Associates Diagnostic Radiology Past Accepting new patients
Lakeland Radiologists P a Diagnostic Radiology Past Accepting new patients
Saint Francis Medical Center Past Accepting new patients
Space Coast Radiology Associates Diagnostic Radiology Past Accepting new patients
Stewart and Stewart a Medical Corporation Past Accepting new patients
Radiology Associates of the Treasure Coast PA Inc Diagnostic Radiology Past Accepting new patients
South Bay Hospital Outpatient Diagnostic/Imaging Center Diagnostic Radiology Past Accepting new patients
Southeast Radiology Associates PL Body Imaging Past Accepting new patients
Quest Imaging Medical Associates, Inc. Past Accepting new patients

Locations (25 of 31)

119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150

17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060

524 W Sagamore Ave
Clewiston, FL 33440
Phone (800) 494-3984

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

5900 W Junior College Rd
Key West, FL 33040
Phone (305) 294-5531

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

2025 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 581-9474

201 14th St SW
Largo, FL 33770
Phone (727) 588-5222

250 N Wickham Rd
#M
Melbourne, FL 32935
Phone (321) 637-2600

1248 S Harbor City Blvd
Melbourne, FL 32901
Phone (435) 623-3165

1800 W Hibiscus Blvd
Ste 100
Melbourne, FL 32901
Phone (321) 676-3535

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

2525 Martin Luther King Jr Blvd
Panama City, FL 32405
Phone (850) 873-6900

4511 N Davis Hwy
Ste 1B
Pensacola, FL 32503
Phone (850) 484-8454

2500 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 766-4122

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

1501 Pasadena Ave S
South Pasadena, FL 33707
Phone (727) 341-7777

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

6500 38th Ave N
St Petersburg, FL 33710
Phone (727) 341-4870

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

4719 N Habana Ave
Tampa, FL 33614
Phone (813) 874-9769

2700 University Square Dr
Tampa, FL 33612
Phone (813) 251-5822

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 64

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 64

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1962479964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SOUTH ASHLEY DRIVE",
            "address_2": "SUITE 1500",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025318",
            "telephone_number": "813-899-6220",
            "fax_number": "813-985-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SOUTH ASHLEY DRIVE",
            "address_2": "SUITE 1500",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025318",
            "telephone_number": "813-899-6220",
            "fax_number": "813-985-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTAKI",
        "first_name": "GEORGE",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "FL",
            "license": "ME94061",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME94061",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "57756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273649700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.