ATLANTIS CLINIC PA
NPI 1194565119
General Practice in Clearwater, FL
About Atlantis Clinic Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ATLANTIS CLINIC PA (NPI 1194565119) is a healthcare organization registered as a general practice in Clearwater, Florida and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through December 9, 2026 and lists Howard Nelson Chipman, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Atlantis Clinic Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Atlantis Clinic PA, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 10D2315261
Atlantis Clinic PA · Clearwater, FLFrequently 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 1194565119. 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 1500 N Mcmullen Booth Rd Ste A1, Clearwater, FL 33759. The listed phone number is (727) 266-1266.
What is Atlantis Clinic PA's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Atlantis Clinic PA enrolled in Medicare?
Yes. Atlantis Clinic PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Atlantis Clinic PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Atlantis Clinic PA, in Emergency Medicine and Nurse Practitioner. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Atlantis Clinic PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2315261) is associated with this NPI, valid through December 9, 2026. 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 November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.
# Atlantis Clinic Pa · NPI 1194565119
General Practice organization in Clearwater, Florida. Organization record, active in the CMS NPPES registry since May 28, 2024.
## Identity
- **NPI:** 1194565119 (Entity type: Organization)
- **Enumerated:** May 28, 2024
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Howard Chipman, MEDICAL DIRECTOR
## Practice location
- **Address:** 1500 N MCMULLEN BOOTH RD STE A1, Clearwater, FL 33759-2541
- **Phone:** (727) 266-1266
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Emergency Medicine (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 13, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1194565119) · Data from the CMS NPPES public registry.