FAMILY MEDICAL GROUP OF TAMPA INC
NPI 1073002218
Clinic/Center - Primary Care in Tampa, FL

Active since May 03, 2018CLIA 10D2147679 · Waiver
8011 N HIMES AVE STE 4, TAMPA, FL 33614(813) 488-1414(813) 488-1413 Get Directions Write a Review

NPPES record last updated: May 3, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Family Medical Group Of Tampa Inc NPPES

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

FAMILY MEDICAL GROUP OF TAMPA INC (NPI 1073002218) is a healthcare organization registered as a primary care in Tampa, Florida and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through April 23, 2028 and lists Juan Perez, Owner, as its authorized official.

NPPES Registry Identity

NPI1073002218
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameFAMILY MEDICAL GROUP OF TAMPA INC
Location Address8011 N HIMES AVE STE 4Tampa, FL 33614-2700
Mailing Address8011 N Himes Ave Ste 4Tampa, FL 33614-2700 · (813) 488-1414 · Fax (813) 488-1413
Fax(813) 488-1413
Organization SubpartNo
Authorized OfficialJuan PerezOwner · (813) 488-1414
Enumeration DateMay 3, 2018
✔ NPI 1073002218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
8011 N HIMES AVE STE 4, Tampa, FL 33614

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Family Medical Group Of Tampa Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Family Medical Group Of Tampa Inc, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1306519681
4507 N ARMENIA AVE
Tampa, FL 33603
(813) 876-4100
✔ PECOS2.8 mi
Nurse Practitioner
NPI 1982354833
6004 LEMON TREE CT
Tampa, FL 33625
(813) 629-8094
✔ PECOS✔ Accepts Medicare3.8 mi
Family Practice
NPI 1538135132
2707 N HIMES AVE
Tampa, FL 33607
(813) 962-0072
✔ PECOS✔ Accepts Medicare4.0 mi
Nurse Practitioner
NPI 1427788348
8402 STANDISH BEND DR
Tampa, FL 33615
(786) 675-2109
✔ PECOS5.1 mi
Nurse Practitioner
NPI 1770335168
2016 DERBYWOOD DR
Brandon, FL 33510
(786) 307-6283
✔ PECOS12 mi
General Practice
NPI 1982285128
W3985 COUNTY ROAD NN
Elkhorn, WI 53121
(262) 741-2121
✔ PECOS1,064 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 10D2147679

Family Medical Group Of Tampa Inc · Tampa, FL
Active · expires Apr 23, 2028
CLIA Number10D2147679
Laboratory TypePhysician Office
Certificate Effective DateApril 24, 2026
Certificate Expiration DateApril 23, 2028
Laboratory DirectorJuan Perez
Laboratory Phone(813) 299-6322
Laboratory LocationFamily Medical Group Of Tampa Inc8011 N Hines Ave #4, Tampa, FL 33614
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Family Medical Group Of Tampa Inc's NPI number?

The NPI number for Family Medical Group Of Tampa Inc is 1073002218. It was assigned to this organization in the NPPES registry on May 3, 2018.

Where is Family Medical Group Of Tampa Inc located?

Family Medical Group Of Tampa Inc is located at 8011 N Himes Ave Ste 4, Tampa, FL 33614. The listed phone number is (813) 488-1414.

What is Family Medical Group Of Tampa Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Family Medical Group Of Tampa Inc enrolled in Medicare?

Yes. Family Medical Group Of Tampa Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Medical Group Of Tampa Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Family Medical Group Of Tampa Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4), Family Practice (1) and General Practice (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Family Medical Group Of Tampa Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2147679) is associated with this NPI, valid through April 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Family Medical Group Of Tampa Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and Ambetter from Buckeye Health Plan and 25 other insurers list Family Medical Group Of Tampa Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Family Medical Group Of Tampa Inc was last updated on May 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.