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ATLANTIS CLINIC PA
NPI 1033959051
General Practice in St Petersburg, FL

Active since May 28, 2024CLIA 10D2318153 · Waiver
1530 4TH ST N, ST PETERSBURG, FL 33704(727) 821-8700(727) 821-8770 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Atlantis Clinic Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ATLANTIS CLINIC PA (NPI 1033959051) is a healthcare organization registered as a general practice in St Petersburg, Florida and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through February 5, 2027 and lists Howard Nelson Chipman, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1033959051
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameATLANTIS CLINIC PA
Location Address1530 4TH ST NSt Petersburg, FL 33704-4412
Mailing Address1530 4th St NSt Petersburg, FL 33704-4412 · (727) 821-8700 · Fax (727) 821-8770
Phone(727) 821-8700
Fax(727) 821-8770
Organization SubpartNo
Authorized OfficialHoward Nelson ChipmanMedical Director · (813) 476-2321
Enumeration DateMay 28, 2024
NPPES CertifiedMay 28, 2024
✔ NPI 1033959051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1530 4TH ST N, St Petersburg, FL 33704
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2318153

Atlantis Clinic PA · Saint Petersburg, FL
Active · expires Feb 5, 2027
CLIA Number10D2318153
Laboratory TypePhysician Office
Certificate Effective DateFebruary 6, 2025
Certificate Expiration DateFebruary 5, 2027
Laboratory DirectorHoward Nelson Chipman
Laboratory Phone(727) 821-8700
Laboratory LocationAtlantis Clinic PA1530 4th St N, Saint Petersburg, FL 33704
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

H & H MEDICAL ASSOCIATES, LLC
Clinic/Center (Urgent Care)
1530 4TH ST N
ST PETERSBURG, FL 33704
Pinellas County (727) 821-8700
INTERCOASTAL URGENT CARE ASSOCIATES PL
Clinic/Center (Urgent Care)
1530 4TH ST N
ST PETERSBURG, FL 33704
Pinellas County (727) 821-8700
NHAT NGUYEN THI NGUYEN D.O
Family Medicine
1530 4TH ST N
ST PETERSBURG, FL 33704
Pinellas County (727) 821-8700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Atlantis Clinic PA's NPI number?

The NPI number for Atlantis Clinic PA is 1033959051. It was assigned to this organization in the NPPES registry on May 28, 2024.

Where is Atlantis Clinic PA located?

Atlantis Clinic PA is located at 1530 4th St N, St Petersburg, FL 33704. The listed phone number is (727) 821-8700.

What is Atlantis Clinic PA's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Atlantis Clinic PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2318153) is associated with this NPI, valid through February 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Atlantis Clinic PA was last updated on May 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.