GREATER TAMPA BAY PHYSICIAN SPECIALISTS, LLC
NPI 1528492287
Surgery in Tampa, FL

Active since August 29, 2013
602 S AUDUBON AVE, SUITE A, TAMPA, FL 33609(813) 877-1415(817) 877-7602 Get Directions Write a Review

NPPES record last updated: October 15, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Greater Tampa Bay Physician Specialists, Llc NPPES

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

GREATER TAMPA BAY PHYSICIAN SPECIALISTS, LLC (NPI 1528492287) is a healthcare organization registered as a surgery in Tampa, Florida and active in the NPI registry since August 2013. The organization lists William Tederick Johnson, Group Vice President/ao, as its authorized official.

NPPES Registry Identity

NPI1528492287
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameGREATER TAMPA BAY PHYSICIAN SPECIALISTS, LLC
Location Address602 S AUDUBON AVE, SUITE ATampa, FL 33609-4217
Mailing Address2000 Health Park DrBrentwood, TN 37027-4525 · (615) 373-7600 · Fax (866) 346-1426
Fax(817) 877-7602
Organization SubpartNo
Authorized OfficialWilliam Tederick JohnsonGroup Vice President/ao · (615) 372-5372
Enumeration DateAugust 29, 2013
Last NPPES UpdateOctober 15, 2020
NPPES CertifiedOctober 15, 2020
✔ NPI 1528492287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
602 S AUDUBON AVE, Tampa, FL 33609

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Greater Tampa Bay Physician Specialists, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

37

Medicare enrollment records show 37 clinicians reassign Medicare billing to Greater Tampa Bay Physician Specialists, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 11 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Nurse Practitioner18
General Surgery13
Colorectal Surgery (Proctology)1
Neurosurgery1
Orthopedic Surgery1
Plastic and Reconstructive Surgery1
Registered Dietitian or Nutrition Professional1
Vascular Surgery1

Nearest to this location (20)

See all 37
General Surgery
NPI 1295051134
602 S AUDUBON AVE STE A
Tampa, FL 33609
(813) 877-1415
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1568909141
2901 W SWANN AVE
Tampa, FL 33609
(813) 873-6400
✔ PECOS0.2 mi
Nurse Practitioner
NPI 1477941235
2901 W SWANN AVE
Tampa, FL 33609
(813) 873-6400
✔ PECOS0.2 mi
Registered Dietitian or Nutrition Professional
NPI 1902683428
2919 W SWANN AVE STE 301
Tampa, FL 33609
(813) 877-6000
✔ Accepts Medicare0.3 mi
General Surgery
NPI 1811989874
508 S HABANA AVE SUITE 160
Tampa, FL 33609
(813) 877-6000
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1497053359
5 TAMPA GENERAL CIR
Tampa, FL 33606
(813) 844-7473
✔ PECOS✔ Accepts Medicare2.6 mi
Nurse Practitioner
NPI 1316692601
1 TAMPA GENERAL CIR
Tampa, FL 33606
(813) 844-7000
✔ PECOS2.6 mi
Nurse Practitioner
NPI 1811549769
3301 W GANDY BLVD
Tampa, FL 33611
(813) 925-1903
✔ PECOS✔ Accepts Medicare3.2 mi
Nurse Practitioner
NPI 1942881164
5210 WEBB RD
Tampa, FL 33615
(813) 882-9986
✔ PECOS6.7 mi
Nurse Practitioner
NPI 1962785956
5901 E FOWLER AVE STE 100
Temple Terrace, FL 33617
(813) 978-9700
✔ PECOS9.9 mi
Colorectal Surgery (Proctology)
NPI 1497917561
3000 MEDICAL PARK DR STE 500
Tampa, FL 33613
(813) 615-7366
✔ PECOS✔ Accepts Medicare9.9 mi
Nurse Practitioner
NPI 1497485908
104 MAIN ST N
Saint Petersburg, FL 33716
(727) 267-1136
✔ PECOS✔ Accepts Medicare11 mi
General Surgery
NPI 1174849277
519 MEDICAL OAKS AVE
Brandon, FL 33511
(813) 685-7995
✔ PECOS✔ Accepts Medicare12 mi
Plastic and Reconstructive Surgery
NPI 1861650822
119 OAKFIELD DR
Brandon, FL 33511
(706) 863-9595
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1518691708
625 6TH AVE S STE 430
St Petersburg, FL 33701
(727) 553-7344
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1699147967
13121 66TH ST
Largo, FL 33773
(727) 314-8180
✔ PECOS✔ Accepts Medicare15 mi
Neurosurgery
NPI 1225017833
13121 66TH ST
Largo, FL 33773
(813) 336-4461
✔ PECOS✔ Accepts Medicare15 mi
General Surgery
NPI 1710120183
601 7TH ST S STE 510
St Petersburg, FL 33701
(727) 893-6550
✔ PECOS✔ Accepts Medicare15 mi
General Surgery
NPI 1669474805
6450 38TH AVE N STE 440
St Petersburg, FL 33710
(727) 551-2033
✔ PECOS✔ Accepts Medicare17 mi
Orthopedic Surgery
NPI 1205074424
1345 W BAY DR STE 301
Largo, FL 33770
(727) 587-7117
✔ PECOS✔ Accepts Medicare19 mi
See all 37 clinicians

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 Greater Tampa Bay Physician Specialists, LLC's NPI number?

The NPI number for Greater Tampa Bay Physician Specialists, LLC is 1528492287. It was assigned to this organization in the NPPES registry on August 29, 2013.

Where is Greater Tampa Bay Physician Specialists, LLC located?

Greater Tampa Bay Physician Specialists, LLC is located at 602 S Audubon Ave Suite A, Tampa, FL 33609. The listed phone number is (813) 877-1415.

What is Greater Tampa Bay Physician Specialists, LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Greater Tampa Bay Physician Specialists, LLC enrolled in Medicare?

Yes. Greater Tampa Bay Physician Specialists, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Greater Tampa Bay Physician Specialists, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 37 clinicians in 8 Medicare specialties reassign their Medicare billing to Greater Tampa Bay Physician Specialists, LLC. 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 (18), General Surgery (13) and Colorectal Surgery (Proctology) (1). Of these, 1 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Greater Tampa Bay Physician Specialists, LLC accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Wellpoint list Greater Tampa Bay Physician Specialists, LLC 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 Greater Tampa Bay Physician Specialists, LLC was last updated on October 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.