Organization Active NPI

Chang-Williams Medical, LLC

  • Medical Physician Assistant
  • Tampa, FL
National Provider Identifier
1992698781
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
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

Updated by the provider on Jul 14, 2026

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

Authorized official

Name
Mrs. Sherissa Chang-Williams, PANPI 1982726410
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)CodeLicenseStatePrimary
Assisted Living Facility 310400000X
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.