DR. GEORGE MICHAEL NORTHRUP M.D.
NPI 1629006507
Specialist in Tampa, FL

Q: What is George Northrup's NPI number?

The NPI number for George Northrup is 1629006507. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Q: What is George Northrup's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for George Northrup was last updated on November 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 29, 2006PECOS EnrolledAccepts Medicare Assignment

5100 W KENNEDY BLVD STE 160, TAMPA, FL 33609(813) 350-9500(813) 350-9544 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 19, 2025, Jan 23, 2019 (2 updates tracked since 2019).

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About Dr. George Michael Northrup M.d. NPPES

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

DR. GEORGE MICHAEL NORTHRUP M.D. (NPI 1629006507) is an individual specialist in Tampa, Florida, licensed in Florida (ME82344) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Winter Haven, and is a graduate of University Of South Florida College Of Medicine (1997).

NPPES Registry Identity

NPI1629006507

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. GEORGE MICHAEL NORTHRUPCredential: M.D.

Location Address5100 W KENNEDY BLVD STE 160Tampa, FL 33609-1817

Mailing Address5100 W Kennedy Blvd Ste 160Tampa, FL 33609-1817 · (813) 350-9500 · Fax (813) 350-9544

Phone(813) 350-9500

Fax(813) 350-9544

Sole ProprietorNo

Medical School CMSUniversity Of South Florida College Of MedicineGraduated 1997

Enumeration DateJune 29, 2006

Last NPPES UpdateNovember 19, 20252 updates tracked since enumeration

NPPES CertifiedNovember 19, 2025

✔ NPI 1629006507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in FL · ME82344

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License ME82344 (FL)

5100 W KENNEDY BLVD STE 160, Tampa, FL 33609

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Secondary Practice Location 1

Location 17500 Cypress Gardens BlvdWinter Haven, FL 33884-3200 · Phone (863) 875-6063 · Fax (863) 875-6063

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. George Michael Northrup M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840277927

PECOS Enrollment IDI20040707000178

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

214 services51 patients

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

213 services15 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

63 services23 patients

Other Providers at the Same Location NPPES 19

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

DR. ROBERT TERRELL WILKINS M.D.

Psychiatry & Neurology (Psychiatry)