SUNCOAST FAMILY MEDICAL ASSOCIATES – Family Medicine Physician, NPI 1811981178

SUNCOAST FAMILY MEDICAL ASSOCIATES is a healthcare provider. based in Largo, Florida. specializing in Family Medicine Physician. The organization holds a License No. CH5247 (FL). The NPI Number for SUNCOAST FAMILY MEDICAL ASSOCIATES is 1811981178

Main info

Organization
Name
SUNCOAST FAMILY MEDICAL ASSOCIATES
NPI
1811981178
Phone
(727) 588-9572
Address
12020 SEMINOLE BLVD
Authorized Official
JEFFREY S GROVE PRESIDENT D.O.
Enumeration Date
1 September 2005
Last Update Date
24 January 2013
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for SUNCOAST FAMILY MEDICAL ASSOCIATES

  • Suncoast Family Medical Associates, 12020, Seminole Boulevard, Largo, Pinellas County, Florida, 33778, United States

    LARGO, FL 337782805

    Phone: (727) 588-9572

    Fax: (727) 584-3832

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-02-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20040217000089OClinic/Group PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33778)

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Reviews

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Frequently asked questions

How is SUNCOAST FAMILY MEDICAL ASSOCIATES identified in CMS data?
CMS-hosted NPPES data lists SUNCOAST FAMILY MEDICAL ASSOCIATES with NPI 1811981178.
Is SUNCOAST FAMILY MEDICAL ASSOCIATES listed as active for patients and plans?
The listing shows SUNCOAST FAMILY MEDICAL ASSOCIATES as active in the NPI system.
What healthcare role does SUNCOAST FAMILY MEDICAL ASSOCIATES hold?
Scheduling teams often label SUNCOAST FAMILY MEDICAL ASSOCIATES under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does SUNCOAST FAMILY MEDICAL ASSOCIATES serve?
SUNCOAST FAMILY MEDICAL ASSOCIATES's listing highlights Largo, Florida; more addresses can appear in NPPES.
Why does SUNCOAST FAMILY MEDICAL ASSOCIATES have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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