NPIMap

Individual provider Active NPI

Stephanie Yvonne Talton-Williamson, M.D.

  • Internal Medicine Physician
  • Wesley Chapel, FL
National Provider Identifier
1962581157
Registry record updated May 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME78701 Issued in FL
Practice address
2352 Creel LN
Suite 102
Wesley Chapel, FL 33544-4622
Phone
(813) 866-4200
Fax
(813) 866-4224
NPI assigned
Nov 6, 2006
Last updated
May 28, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME78701 FL Primary

Addresses

Primary practice location

2352 Creel LN
Suite 102
Wesley Chapel, FL 33544-4622

Mailing address

2352 Creel LN
Suite 102
Wesley Chapel, FL 33544-4622
Phone (813) 866-4200

Other identifiers 1

IdentifierTypeStateIssuer
258488300MedicaidFL

Other names 1

  • Stephanie Yvonne Talton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040730000393 FL Practitioner - Internal MedicinePractitioner - Emergency Medicine 5496725921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Tulane University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tampa General Medical Group IncGroup PAC ID 7416253828, 353 clinicians

Practice addresses (Care Compare)

2324 Oak Myrtle LN
Wesley Chapel, FL 33544-6319
Phone (813) 844-8300

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
Tampa General Medical Group Inc CurrentSince Apr 1, 2016 Accepting new patients
Tampa General Medical Group Inc Current Accepting new patients
Tampa General Medical Group Inc CurrentSince Apr 1, 2016 Accepting new patients
Cheryl L Roberson MD PA Past Accepting new patients
Tampa General Medical Group Inc Past Accepting new patients
Carlos Alberto Silva MD PA Internal Medicine Past Accepting new patients

Locations

214 Morrison Rd
Ste 110
Brandon, FL 33511
Phone (800) 844-9302

2433 Country Place Blvd
Trinity, FL 34655
Phone (813) 844-8200

2324 Oak Myrtle Ln
Wesley Chapel, FL 33544
Phone (813) 844-8300

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: staltonwilliamson86435@direct.tgh.org

Organizations & group practices 8

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275004800000",
    "number": "1962581157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2352 CREEL LN",
            "address_2": "SUITE 102",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335444622",
            "telephone_number": "813-866-4200",
            "fax_number": "813-866-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2352 CREEL LN",
            "address_2": "SUITE 102",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335444622",
            "telephone_number": "813-866-4200",
            "fax_number": "813-866-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALTON-WILLIAMSON",
        "first_name": "STEPHANIE",
        "middle_name": "YVONNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2010-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME78701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258488300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "TALTON",
            "middle_name": "YVONNE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wesley Chapel, FL

Sources for this page

Verify at the official NPI Registry.