CARILLON SPORTS AND FAMILY MEDICINE PA
NPI 1275730970
Family Medicine - Sports Medicine in St Petersburg, FL

Q: What is Carillon Sports And Family Medicine PA's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Active since June 27, 2007

12225 28TH ST N, SUITE B, ST PETERSBURG, FL 33716(727) 561-4303(727) 561-9299 Get Directions Write a Review

NPPES record last updated: May 12, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Carillon Sports And Family Medicine Pa NPPES

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

CARILLON SPORTS AND FAMILY MEDICINE PA (NPI 1275730970) is a healthcare organization registered as a sports medicine in St Petersburg, Florida and active in the NPI registry since June 2007. The organization lists Adam A Brunson, President, as its authorized official.

NPPES Registry Identity

NPI1275730970

Entity TypeOrganization

Primary Taxonomy207QS0010X

Legal Business NameCARILLON SPORTS AND FAMILY MEDICINE PA

Location Address12225 28TH ST N, SUITE BSt Petersburg, FL 33716-1860

Mailing Address12225 28th St N, Suite BSt Petersburg, FL 33716-1860 · (727) 561-4303 · Fax (727) 561-9299

Phone(727) 561-4303

Fax(727) 561-9299

Organization SubpartNo

Authorized OfficialAdam A BrunsonPresident · (727) 561-4303

Enumeration DateJune 27, 2007

Last NPPES UpdateMay 12, 2011

✔ NPI 1275730970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in FL · ME80751

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

12225 28TH ST N, St Petersburg, FL 33716

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Other Identifiers 1

Medicare PINK4166

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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)

Carillon Sports And Family Medicine Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Carillon Sports And Family Medicine PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Adam Brunson, M.D.

Family Practice

NPI 1023011913

12225 28TH ST N STE B
St Petersburg, FL 33716

(727) 561-4303

✔ PECOS✔ Accepts MedicareSame address

Melissa Fehr, ARNP

Nurse Practitioner

NPI 1952624900

7406 FULLERTON ST
Jacksonville, FL 32256

(813) 310-3563

✔ PECOS173 mi

Matthew Vermeer, M.D.

Family Practice

NPI 1740522242

616 UNIVERSAL DR
Tallahassee, FL 32303

(850) 385-1839

✔ PECOS✔ Accepts Medicare203 mi

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

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 Carillon Sports And Family Medicine PA's NPI number?

The NPI number for Carillon Sports And Family Medicine PA is 1275730970. It was assigned to this organization in the NPPES registry on June 27, 2007.

Where is Carillon Sports And Family Medicine PA located?

Carillon Sports And Family Medicine PA is located at 12225 28th St N Suite B, St Petersburg, FL 33716. The listed phone number is (727) 561-4303.

What is Carillon Sports And Family Medicine PA's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Carillon Sports And Family Medicine PA enrolled in Medicare?

Yes. Carillon Sports And Family Medicine PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Carillon Sports And Family Medicine PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Carillon Sports And Family Medicine PA, in Family Practice 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Carillon Sports And Family Medicine PA accept?

Health plans from AvMed list Carillon Sports And Family Medicine PA 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 Carillon Sports And Family Medicine PA was last updated on May 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.