SAVANNAH CLARE ENNIS
NPI 1679335376
Physician Assistant - Surgical in Tampa, FL

Active since January 29, 2024PECOS Enrolled
2 TAMPA GENERAL CIR, TAMPA, FL 33606(813) 821-8038(813) 974-0483 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Savannah Clare Ennis NPPES

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

SAVANNAH CLARE ENNIS (NPI 1679335376) is an individual surgical provider in Tampa, Florida, licensed in Florida (PA9119406) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Abita Springs.

NPPES Registry Identity

NPI1679335376
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameSAVANNAH CLARE ENNIS
Location Address2 TAMPA GENERAL CIRTampa, FL 33606-3571
Mailing AddressPo Box 917770Orlando, FL 32891-0001 · (813) 821-8038
Fax(813) 974-0483
Sole ProprietorNo
Enumeration DateJanuary 29, 2024
Last NPPES UpdateMarch 20, 2025
NPPES CertifiedMarch 20, 2025
NPI 1679335376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in FL · PA9119406
2 TAMPA GENERAL CIR, Tampa, FL 33606

Secondary Practice Location 1

Location 1440 Trailhead DrAbita Springs, LA 70420-4005 · Phone (985) 630-1099

Other Identifiers 2

Medicaid124470100FL
Other4KBECFL · Bcbs

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Savannah Clare Ennis 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.

Pediatrics
2 TAMPA GENERAL CIR, 5TH FLOOR
TAMPA, FL 33606
Pediatrics (Neonatal-Perinatal Medicine)
2 TAMPA GENERAL CIR
TAMPA, FL 33606
Surgery (Surgical Critical Care)
2 TAMPA GENERAL CIR
TAMPA, FL 33606
Internal Medicine (Infectious Disease)
2 TAMPA GENERAL CIR
TAMPA, FL 33606
Physician Assistant
2 TAMPA GENERAL CIR
TAMPA, FL 33606
Surgery (Vascular Surgery)
2 TAMPA GENERAL CIR
TAMPA, FL 33606
Pediatrics
2 TAMPA GENERAL CIR, MDC 15
TAMPA, FL 33606
Surgery (Vascular Surgery)
2 TAMPA GENERAL CIR, USF VASCULAR SURGERY STE.300
TAMPA, FL 33606

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 Savannah Ennis's NPI number?

The NPI number for Savannah Ennis is 1679335376. It was assigned to this individual provider in the NPPES registry on January 29, 2024.

Where is Savannah Ennis located?

Savannah Ennis practices at 2 Tampa General Cir, Tampa, FL 33606. The listed phone number is (813) 821-8038.

What is Savannah Ennis's specialty?

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

Is Savannah Ennis enrolled in Medicare?

Yes. Savannah Ennis is registered in the Medicare PECOS enrollment system.

What insurance does Savannah Ennis accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Oscar Health Maintenance Organization of Florida list Savannah Ennis 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 Savannah Ennis was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.