1. Home
  2. Directory
  3. Florida
  4. Pinellas Park
  5. Family Medicine
  6. NPI Profile

ANDERSON PRIMARY CARE PLLC
NPI 1881538403
Family Medicine - Adult Medicine in Pinellas Park, FL

Active since April 15, 2026
7800 66TH ST N STE 206, PINELLAS PARK, FL 33781(727) 300-0063(727) 256-0039 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Anderson Primary Care Pllc NPPES

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

ANDERSON PRIMARY CARE PLLC (NPI 1881538403) is a healthcare organization registered as an adult medicine in Pinellas Park, Florida and active in the NPI registry since April 2026. The organization lists Ronald D Dayton, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1881538403
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameANDERSON PRIMARY CARE PLLC
Location Address7800 66TH ST N STE 206Pinellas Park, FL 33781-2101
Mailing Address7800 66th St N Ste 206Pinellas Park, FL 33781-2101 · (727) 300-0063 · Fax (727) 256-0039
Phone(727) 300-0063
Fax(727) 256-0039
Organization SubpartNo
Authorized OfficialRonald D DaytonCredentialing Manager · (727) 900-1326
Enumeration DateApril 15, 2026
NPPES CertifiedApril 15, 2026
✔ NPI 1881538403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
7800 66TH ST N STE 206, Pinellas Park, FL 33781
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anderson Primary Care Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Anderson Primary Care PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Ty Anderson, D.O.
Family Practice
NPI 1851335988
7800 66TH ST N STE 206
Pinellas Park, FL 33781
(727) 541-0323
✔ PECOSSame address
Mary Pugh, ARNP
Nurse Practitioner
NPI 1407174204
7800 66TH ST N STE 206
Pinellas Park, FL 33781
(727) 541-0323
✔ PECOSSame address

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 Anderson Primary Care PLLC's NPI number?

The NPI number for Anderson Primary Care PLLC is 1881538403. It was assigned to this organization in the NPPES registry on April 15, 2026.

Where is Anderson Primary Care PLLC located?

Anderson Primary Care PLLC is located at 7800 66th St N Ste 206, Pinellas Park, FL 33781. The listed phone number is (727) 300-0063.

What is Anderson Primary Care PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Anderson Primary Care PLLC enrolled in Medicare?

Yes. Anderson Primary Care PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Anderson Primary Care PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Anderson Primary Care PLLC, in Family Practice and Nurse Practitioner. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Anderson Primary Care PLLC was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.