PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC – NPI #1265003537
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC is a provider located in PUNTA GORDA, FL. NPPES has assigned the NPI number 1265003537 to PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC on July 07, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 4 years ago on Mar 16, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC below.

NPI Profile for
PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC

NPI Number
1265003537
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC
Doing Business As (dba): PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC
Other name(s)
All associated names:
Doing Business As (dba)
Bayfront Health Wound Care and Hyperbaric Center
Doing Business As (dba)
Port Charlotte HMA Physician Management LLC
Primary location
25097 OLYMPIA AVE STE 107
PUNTA GORDA, FL 33950-3914
Phone: (941) 205-2620 Fax: (941) 235-2347
Mailing address
PO BOX 689022
FRANKLIN, TN 37068-9022
Phone: (615) 465-7211 Fax: (615) 628-6877
Organization Subpart
No
Authorized Official
JENNIFER JACKSON
SR DIR PROV ENROLLMENT & ONBOARDING
Phone: (615) 465-3334
Updated
Certification Date
Mar 16, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFLPENDING
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.