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CODY E THOMPSON PA-C
NPI 1619953114
Physician Assistant - Surgical in St Petersburg, FL

Active since December 16, 2005PECOS Enrolled
625 6TH AVE S STE 450, ST PETERSBURG, FL 33701(727) 898-2663(727) 568-6836 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 22, 2025, Aug 9, 2022 (2 updates tracked since 2022).

About Cody E Thompson Pa-c NPPES

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

CODY E THOMPSON PA-C (NPI 1619953114) is an individual surgical provider in St Petersburg, Florida, licensed in Florida (PA9103535) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619953114
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameCODY E THOMPSONCredential: PA-C
Location Address625 6TH AVE S STE 450St Petersburg, FL 33701-4629
Mailing Address625 6th Ave S Ste 450St Petersburg, FL 33701-4629 · (727) 898-2663 · Fax (727) 568-6836
Phone(727) 898-2663
Fax(727) 568-6836
Sole ProprietorYes
Enumeration DateDecember 16, 2005
Last NPPES UpdateMay 22, 20252 updates tracked since enumeration
NPPES CertifiedMay 22, 2025
✔ NPI 1619953114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in FL · PA9103535
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA9103535 (FL)
625 6TH AVE S STE 450, St Petersburg, FL 33701
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Secondary Practice Locations 2

Location 13440 W Dr Martin Luther King Jr Blvd Ste 200Tampa, FL 33607-6223 · Phone (813) 879-2663 · Fax (813) 872-0286
Location 28318 Market StLakewood Ranch, FL 34202-5137 · Phone (727) 898-2663 · Fax (727) 568-6836

Other Identifiers 1

Medicaid292378500FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cody E Thompson Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

CHILDREN'S ORTHOPAEDIC & SCOLIOSIS SURGERY ASSOCIATES, LLP
Durable Medical Equipment & Medical Supplies
625 6TH AVE S STE 450
ST PETERSBURG, FL 33701
Pinellas County (727) 898-2663
RYAN G ROSS PA-C
Physician Assistant (Surgical)
625 6TH AVE S STE 450
SAINT PETERSBURG, FL 33701
Pinellas County (727) 898-2663
SELAH BAKER PA-C
Physician Assistant (Surgical)
625 6TH AVE S STE 450
ST PETERSBURG, FL 33701
Pinellas County (727) 898-2663
RYAN EVERETT FITZGERALD MD
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
625 6TH AVE S STE 450
ST PETERSBURG, FL 33701
Pinellas County (727) 898-2663
LEE G PHILLIPS MD
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
625 6TH AVE S STE 450
ST PETERSBURG, FL 33701
Pinellas County (727) 898-2663
CHILDREN'S ORTHOPAEDIC & SCOLIOSIS SURGERY ASSOCIATES, LLP
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
625 6TH AVE S STE 450
ST PETERSBURG, FL 33701
Pinellas County (727) 898-2663
STEPHANIE ALDRIDGE PA-C
Physician Assistant (Surgical)
625 6TH AVE S STE 450
ST PETERSBURG, FL 33701
Pinellas County (727) 898-2663
MRS. DIANE ROSE BRONKEMA ROT
Specialist/Technologist, Other (Orthopedic Assistant)
625 6TH AVE S STE 450
ST PETERSBURG, FL 33701
Pinellas County (727) 898-2663

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 Cody Thompson's NPI number?

The NPI number for Cody Thompson is 1619953114. It was assigned to this individual provider in the NPPES registry on December 16, 2005.

Where is Cody Thompson located?

Cody Thompson practices at 625 6th Ave S Ste 450, St Petersburg, FL 33701. The listed phone number is (727) 898-2663.

What is Cody Thompson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Cody Thompson enrolled in Medicare?

Yes. Cody Thompson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cody Thompson was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.