Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jonathan Alan Beavers, AA-C

Individual provider Anesthesiologist Assistant · NPI 1699025528

Jonathan Alan Beavers, AA-C is an Anesthesiology Assistant in Tampa, Florida. Qualified in 2012, 14 years ago. Practices with H Lee Moffitt Cancer Ctr and Res Inst Life Time Cancer Scrn Ctr Inc, a 1,135-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
14
Licensed in
FL
In the registry since
2012
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Practice location Address checks out

12902 Usf Magnolia Dr
Tampa, FL 33612-9416
Phone: (813) 344-6634
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence AA128 (FL)

Record details

NPI number1699025528
Entity typeIndividual (Type 1)
GenderMale
Credentials AA-C
Sole proprietorNo
NPI enumeratedSeptember 18, 2012
Last updated in NPPESSeptember 18, 2012
Mailing address12902 Usf Magnolia Dr, Tampa, FL 33612-9416

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice H Lee Moffitt Cancer Ctr And Res Inst Life Time Cancer Scrn Ctr Inc — 1135 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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