ATLANTIS CLINIC PA
NPI 1417957325
General Practice in Oldsmar, FL

Active since July 21, 2005CLIA 10D0987530 · Waiver
3705 TAMPA RD, #22, OLDSMAR, FL 34677(813) 891-6343(813) 891-6342 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Nov 13, 2024, Apr 25, 2017 (2 updates tracked since 2017).

About Atlantis Clinic Pa NPPES

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

ATLANTIS CLINIC PA (NPI 1417957325) is a healthcare organization registered as a general practice in Oldsmar, Florida and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through June 6, 2027 and lists Howard Nelson Chipman, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1417957325
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameATLANTIS CLINIC PA
Location Address3705 TAMPA RD, #22Oldsmar, FL 34677-6300
Mailing Address3705 Tampa Rd. Suite 22Oldsmar, FL 34677-6346 · (813) 891-6343 · Fax (813) 891-6342
Fax(813) 891-6342
Organization SubpartNo
Authorized OfficialHoward Nelson ChipmanMedical Director · (813) 891-6343
Enumeration DateJuly 21, 2005
Last NPPES UpdateNovember 13, 20242 updates tracked since enumeration
NPPES CertifiedNovember 13, 2024
NPI 1417957325 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
3705 TAMPA RD, Oldsmar, FL 34677

Other Identifiers 1

Medicaid257635000FL

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 10D0987530

Atlantis Clinic · Oldsmar, FL
Active · expires Jun 6, 2027
CLIA Number10D0987530
Laboratory TypePhysician Office
Certificate Effective DateJune 7, 2025
Certificate Expiration DateJune 6, 2027
Laboratory DirectorHoward N. Chipman
Laboratory Phone(813) 891-6343
Laboratory LocationAtlantis Clinic3705 Tampa Rd #22, Oldsmar, FL 34677
CLIA data matches this NPI record on: Address 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.

Pharmacist
3705 TAMPA RD
OLDSMAR, FL 34677
Family Medicine
3705 TAMPA RD, STE 22
OLDSMAR, FL 34677
Physician Assistant
3705 TAMPA RD
OLDSMAR, FL 34677

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 1417957325. It was assigned to this organization in the NPPES registry on July 21, 2005.

Where is Atlantis Clinic PA located?

Atlantis Clinic PA is located at 3705 Tampa Rd #22, Oldsmar, FL 34677. The listed phone number is (813) 891-6343.

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 10D0987530) is associated with this NPI, valid through June 6, 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 November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.