Active NPI
Joe South, PA-C
- Physician Assistant
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9111972
- Practice address
- 2502 W Saint Isabel St Ste B
Tampa, FL 33607-6318 - Phone
- (813) 874-5707
- NPI assigned
- Jan 22, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9111972 | FL | Primary |
Addresses
Primary practice location
2502 W Saint Isabel St Ste B
Tampa, FL 33607-6318
Mailing address
411 N Federal Hwy Apt 408
Hallandale Beach, FL 33009-3483
Phone (352) 431-0989
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190306001468 | FL | Practitioner - Physician Assistant | 8426397621 | Reassigns benefits to 6 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Guidewell Emergency Medicine Doctors, LLCTampa General Medical Group Inc
Practice addresses (Care Compare)
113 N Orlando Ave
Winter Park, FL 32789-3675
Phone (407) 801-8400
1425 4TH St N
Saint Petersburg, FL 33704-4409
Phone (904) 329-1942
16318 N Dale Mabry Hwy
Tampa, FL 33618-1341
Phone (813) 576-0077
5802 N 30TH St
Tampa, FL 33610-1469
Phone (813) 236-5300
Hospital & facility affiliations
- Tampa General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9111972 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Observation Medical Group LLC | Current | Accepting new patients | |
| Adventist Health System/ Sunbelt, Inc. | Physician Assistant | Current | Accepting new patients |
| Adventist Health System/Sunbelt, Inc | Physician Assistant | Current | Accepting new patients |
| Tampa General Medical Group Inc | Current | Accepting new patients | |
| Tampa General Medical Group Inc | Current | Accepting new patients | |
| Guidewell Emergency Medicine Doctors, LLC | Past | Accepting new patients | |
| Dispatchhealth-Florida Inc. | Past | Accepting new patients |
Locations
440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000
214 Morrison Rd
Ste 110
Brandon, FL 33511
Phone (800) 844-9302
5802 N 30th St
Tampa, FL 33610
Phone (813) 236-5100
Interoperability endpoints
- joe.south.1@13869.direct.athenahealth.com
Organizations & group practices 12
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.
-
- Urgent Care Clinic/Center
- Winter Park, FL
- NPI 1629497235
FL
-
- Cardiovascular Disease Physician
- Sun City Center, FL
- NPI 1144910316
-
- Emergency Medicine Physician
- Tampa, FL
- NPI 1023397817
FL
-
- Urgent Care Clinic/Center
- The Villages, FL
- NPI 1396605440
Physician Assistant
-
- Urgent Care Clinic/Center
- Kissimmee, FL
- NPI 1972798296
Physician Assistant
-
- Family Medicine Physician
- Tampa, FL
- NPI 1578800462
-
- Emergency Medicine Physician
- Doral, FL
- NPI 1154097491
-
- Radiology Clinic/Center
- Winter Park, FL
- NPI 1639973555
Hospital & facility affiliations 1
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": "1548115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548115200000",
"number": "1982168118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 N FEDERAL HWY APT 408",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330093483",
"telephone_number": "352-431-0989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2502 W SAINT ISABEL ST STE B",
"city": "TAMPA",
"state": "FL",
"postal_code": "336076318",
"telephone_number": "813-874-5707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUTH",
"first_name": "JOE",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-22",
"last_updated": "2019-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "9111972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.