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ATLANTIS CLINIC PA
NPI 1194565119
General Practice in Clearwater, FL

Active since May 28, 2024CLIA 10D2315261 · Waiver
1500 N MCMULLEN BOOTH RD STE A1, CLEARWATER, FL 33759(727) 266-1266 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

NPI1194565119
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameATLANTIS CLINIC PA
Location Address1500 N MCMULLEN BOOTH RD STE A1Clearwater, FL 33759-2541
Mailing Address1500 N Mcmullen Booth Rd Ste A1Clearwater, FL 33759-2541 · (727) 266-1266
Phone(727) 266-1266
Organization SubpartNo
Authorized OfficialHoward Nelson ChipmanMedical Director · (813) 476-2321
Enumeration DateMay 28, 2024
Last NPPES UpdateNovember 13, 2024
NPPES CertifiedNovember 13, 2024
✔ NPI 1194565119 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

1500 N MCMULLEN BOOTH RD STE A1, Clearwater, FL 33759
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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 10D2315261

Atlantis Clinic PA · Clearwater, FL
Active · expires Dec 9, 2026
CLIA Number10D2315261
Laboratory TypePhysician Office
Certificate Effective DateDecember 10, 2024
Certificate Expiration DateDecember 9, 2026
Laboratory DirectorHoward Nelson Chipman
Laboratory Phone(727) 266-1266
Laboratory LocationAtlantis Clinic PA1500 N Mcmullen Booth Rd Ste A1, Clearwater, FL 33759
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

What is ATLANTIS CLINIC PA's NPI number?

The NPI number assigned to this healthcare provider is 1194565119, enumerated as an "organization" on May 28, 2024.

Where is the provider located?

The provider is located at 1500 N MCMULLEN BOOTH RD STE A1 CLEARWATER, FL 33759 and the phone number is (727) 266-1266.

What is the provider's specialty?

General Practice with taxonomy code 208D00000X.