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

Timmi Maxmillian, DO

Individual provider Family Medicine Physician · NPI 1902536188

Timmi Maxmillian, DO is a Family Practice in St Petersburg, Florida. Graduated from Lake Erie Col of Osteopathic Medicine, Bradenton in 2022, 4 years ago. Practices with Baycare Medical Group, Inc, a 1,530-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Trained at
Lake Erie Col of Osteopathic Medicine, Bradenton
Licensed in
FL
In the registry since
2022
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

6801 4th St N
St Petersburg, FL 33702-6844
Phone: (727) 822-3238
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS22420 (FL)

Record details

NPI number1902536188
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 12, 2022
Last updated in NPPESSeptember 26, 2025
Certification dateSeptember 26, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolLAKE ERIE COL OF OSTEOPATHIC MEDICINE, BRADENTON
Graduated 2022 (4 years in practice)
Group practice Baycare Medical Group, Inc. — 1530 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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