GREATER TAMPA BAY PHYSICIAN NETWORK, LLC
NPI 1649604364
Internal Medicine in South Pasadena, FL
About Greater Tampa Bay Physician Network, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREATER TAMPA BAY PHYSICIAN NETWORK, LLC (NPI 1649604364) is a healthcare organization registered as an internal medicine in South Pasadena, 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
Specialties & Licenses 2
Group Practice 1
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 Network, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Greater Tampa Bay Physician Network, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
South Pasadena, FL 33707
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 Network, LLC's NPI number?
The NPI number for Greater Tampa Bay Physician Network, LLC is 1649604364. It was assigned to this organization in the NPPES registry on August 29, 2013.
Where is Greater Tampa Bay Physician Network, LLC located?
Greater Tampa Bay Physician Network, LLC is located at 1615 Pasadena Ave S Ste 430, South Pasadena, FL 33707. The listed phone number is (727) 397-0606.
What is Greater Tampa Bay Physician Network, LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Greater Tampa Bay Physician Network, LLC enrolled in Medicare?
Yes. Greater Tampa Bay Physician Network, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Greater Tampa Bay Physician Network, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Greater Tampa Bay Physician Network, 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Greater Tampa Bay Physician Network, LLC accept?
Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Greater Tampa Bay Physician Network, 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 Network, 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.
# Greater Tampa Bay Physician Network, Llc · NPI 1649604364
Internal Medicine organization in South Pasadena, Florida. Organization record, active in the CMS NPPES registry since August 29, 2013.
## Identity
- **NPI:** 1649604364 (Entity type: Organization)
- **Enumerated:** August 29, 2013
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** William Johnson, GROUP VICE PRESIDENT/AO
## Practice location
- **Address:** 1615 PASADENA AVE S STE 430, South Pasadena, FL 33707-4521
- **Phone:** (727) 397-0606 · **Fax:** (727) 397-6161
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Family Practice) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 15, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1649604364) · Data from the CMS NPPES public registry.