NPIMap

Adventist Health System/Sunbelt, Inc

Organization Active NPI Family Medicine Physician · Palm Harbor, FL

NPI 1003593526 · NPPES record last updated Jul 17, 2026

Key facts

NPI
1003593526
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
ADVENTIST HEALTH SYSTEM/SUNBELT, INC
Practice address
33670 US Highway 19 N
Palm Harbor, FL 34684-2640
Phone
(844) 397-0018
NPI assigned
Jun 28, 2023
Organization subpart
Yes
Parent organization (as reported)
ADVENTIST HEALTH SYSTEM/SUNBELT, INC

Authorized official

Name
Jessica Baird-Wertman
Title
Ceo
Phone
(407) 200-2300

Other NPIs on the same Medicare enrollment 35

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 35

Corporate family (same tax ID) 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2131368Adventhealth Primary Care+ at Walgreens
33670 US Hwy 19 N, Palm Harbor, FL 34684		Certificate of waiverMay 25, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100903000981 FL Part B Supplier - Clinic/Group Practice 3274657721 Receives reassigned benefits from 115 practitioners
35 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wesley Chapel, FL; Palm Coast, FL; Palm Harbor, FL; Port Orange, FL; Saint Cloud, FL; Oviedo, FL; Sanford, FL; Spring Hill, FL…

National Provider Directory

Tax ID family
Adventist Health Systemsunbelt Inc (42 organizations share this tax ID)
Part of
Adventist Health Systemsunbelt Inc

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 207Q00000X Yes
Physician Assistant
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 363A00000X
Family Nurse Practitioner
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 363LF0000X

Addresses

Primary practice location

33670 US Highway 19 N
Palm Harbor, FL 34684-2640

Mailing address

2600 Westhall LN Ste 300
Maitland, FL 32751-7107
Phone (407) 200-2300

Other names

  • AdventHealth Primary Care Plus at Walgreens - Palm Harbor Doing business as
  • AdventHealth Total Health Management Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 17, 2026.

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1003593526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 WESTHALL LN STE 300",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517107",
            "telephone_number": "407-200-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33670 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346842640",
            "telephone_number": "844-397-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTIST HEALTH SYSTEM/SUNBELT, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVENTIST HEALTH SYSTEM/SUNBELT, INC",
        "enumeration_date": "2023-06-28",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "BAIRD-WERTMAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-200-2300"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AdventHealth Primary Care Plus at Walgreens - Palm Harbor",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AdventHealth Primary Care Plus at Walgreens - Palm Harbor",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AdventHealth Total Health Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Harbor, FL

All providers in Palm Harbor, FL · Family Medicine Physician in Florida

Sources for this page

Verify at the official NPI Registry.