Active NPI
Chang-Williams Medical, LLC
- Medical Physician Assistant
- Tampa, FL
National Provider Identifier
1992698781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Legal business name
- CHANG-WILLIAMS MEDICAL, LLC
- Practice address
- 13047 W Linebaugh Ave Ste 102
Tampa, FL 33626-4487 - Phone
- (813) 334-6134
- NPI assigned
- May 30, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sherissa Chang-Williams, PA
- Title
- Ceo/Physician Assistant
- Phone
- (813) 334-6134
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | |||
| Medical Physician Assistant | 363AM0700X | Primary |
Addresses
Primary practice location
13047 W Linebaugh Ave Ste 102
Tampa, FL 33626-4487
Mailing address
12191 W Linebaugh Ave Ste 607
Tampa, FL 33626-1732
Phone (813) 334-6134
National Provider Directory
National Provider DirectoryLocations
13047 W Linebaugh Ave
Ste 102
Tampa, FL 33626
Phone (813) 475-6542
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Tampa, FL
- NPI 1982726410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783987200000",
"number": "1992698781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12191 W LINEBAUGH AVE STE 607",
"city": "TAMPA",
"state": "FL",
"postal_code": "336261732",
"telephone_number": "813-334-6134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13047 W LINEBAUGH AVE STE 102",
"city": "TAMPA",
"state": "FL",
"postal_code": "336264487",
"telephone_number": "813-334-6134"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHANG-WILLIAMS MEDICAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-30",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A",
"authorized_official_last_name": "CHANG-WILLIAMS",
"authorized_official_first_name": "SHERISSA",
"authorized_official_title_or_position": "CEO/PHYSICIAN ASSISTANT",
"authorized_official_telephone_number": "813-334-6134",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PA"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"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 Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.