PURPOSELY EVOLVING MEDICAL CLINIC
NPI 1609582782
Clinic/Center - Primary Care in Tarpon Springs, FL

Q: What is Purposely Evolving's NPI number?

The NPI number for Purposely Evolving is 1609582782. It was assigned to this organization in the NPPES registry on January 23, 2023. The provider is doing business as Purposely Evolving Medical Clinic.

Q: What is Purposely Evolving's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since January 23, 2023CLIA 10D2262074 · Waiver

1810 S PINELLAS AVE STE B, TARPON SPRINGS, FL 34689(727) 937-6060(727) 937-6030 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 9, 2023, Jan 23, 2023 (2 updates tracked since 2023).

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About Purposely Evolving Medical Clinic NPPES

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

PURPOSELY EVOLVING MEDICAL CLINIC (NPI 1609582782) is a healthcare organization registered as a primary care in Tarpon Springs, Florida and active in the NPI registry since January 2023. The organization holds a CLIA Waiver certificate valid through June 8, 2028 and lists Dominique Paschal, Owner, as its authorized official.

NPPES Registry Identity

NPI1609582782

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NamePURPOSELY EVOLVING

Location Address1810 S PINELLAS AVE STE BTarpon Springs, FL 34689-1989

Mailing Address1810 S Pinellas Ave Ste BTarpon Springs, FL 34689-1989 · (727) 937-6060 · Fax (727) 937-6030

Phone(727) 937-6060

Fax(727) 937-6030

Organization SubpartNo

Authorized OfficialDominique PaschalOwner · (727) 937-6060

Enumeration DateJanuary 23, 2023

Last NPPES UpdateAugust 9, 20232 updates tracked since enumeration

NPPES CertifiedAugust 9, 2023

✔ NPI 1609582782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

1810 S PINELLAS AVE STE B, Tarpon Springs, FL 34689

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Other Names 1

Doing Business AsPurposely Evolving Medical Clinic

Other Identifiers 2

Other1083178040FL · Npi

Other1013086917FL · Npi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

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 10D2262074

Purposely Evolving · Tarpon Springs, FL

Active · expires Jun 8, 2028

CLIA Number10D2262074

Laboratory TypePractitioner Other

Certificate Effective DateJune 9, 2026

Certificate Expiration DateJune 8, 2028

Laboratory DirectorDominique S. Paschal

Laboratory Phone(727) 937-6060

Laboratory LocationPurposely Evolving1810 S Pinellas Ave Suite B, Tarpon Springs, FL 34689

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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DOMINIQUE PASCHAL APRN

Nurse Practitioner (Family)

1810 S PINELLAS AVE STE B
TARPON SPRINGS, FL 34689

Pinellas County (727) 937-6060

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 Purposely Evolving's NPI number?

The NPI number for Purposely Evolving is 1609582782. It was assigned to this organization in the NPPES registry on January 23, 2023. The provider is doing business as Purposely Evolving Medical Clinic.

Where is Purposely Evolving located?

Purposely Evolving is located at 1810 S Pinellas Ave Ste B, Tarpon Springs, FL 34689. The listed phone number is (727) 937-6060.

What is Purposely Evolving's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Purposely Evolving hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2262074) is associated with this NPI, valid through June 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Purposely Evolving accept?

Health plans from Molina Healthcare list Purposely Evolving 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 Purposely Evolving was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.