GCMG-VENICE – NPI #1306143649
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.

GCMG-VENICE is a provider located in VENICE, FL. NPPES has assigned the NPI number 1306143649 to GCMG-VENICE on February 23, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GCMG-VENICE” is a dba name, the actual legal business name for this organization is GULF COAST HMA PHYSICIAN MANAGEMENT LLC. 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 14, 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 GCMG-VENICE below.

NPI Profile for
GULF COAST HMA PHYSICIAN MANAGEMENT LLC

NPI Number
1306143649
Enumeration Date

(more than 15 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
GULF COAST HMA PHYSICIAN MANAGEMENT LLC
Doing Business As (dba): GCMG-VENICE
Primary location
8421 POINTE LOOP DR
VENICE, FL 34293-2232
Phone: (941) 244-9536 Fax: (941) 244-9539
Mailing address
5811 PELICAN BAY BLVD
SUITE 500
NAPLES, FL 34108-2733
Phone: (239) 598-3131 Fax: (239) 592-0438
Organization Subpart
Yes - GCMG-VENICE is subpart of another organization.
Authorized Official
JENNIFER JACKSON
SENIOR DIRECTOR PROVIDER ENROLLMENT
Phone: (615) 465-3334
Updated
Certification Date
Mar 14, 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.

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.