Health First Internal Medicine Associates, LLC
Organization Active NPI Internal Medicine Physician · Lady Lake, FL
NPI 1013286004 · NPPES record last updated Mar 24, 2023
Key facts
- NPI
- 1013286004
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- ME88930 (FL)
- Legal business name
- HEALTH FIRST INTERNAL MEDICINE ASSOCIATES, LLC
- Practice address
- 8562 NE 138TH LN
Lady Lake, FL 32159-8919 - Phone
- (352) 633-8681
- NPI assigned
- Dec 20, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Janmejay Shaktawat
- Title
- Office Manager
- Phone
- (352) 633-8681
Practitioners 23
-
Jenna Elizabeth Brown, ARNP
-
Janmejay Shaktawat, M.D.
-
Michelle R. Springstead, APRN
-
Michelle Angela Copp, ARNP
-
Daysi Mariel Abreu, PHYSICIAN ASSISTANT
-
Daphne R Charles, PA-C
-
Heather M Gates, PA-C
-
Connie L Hartley, APRN
-
Vickie Hodges, MSN, APRN, FNP-C
-
Joyiena Rose Joseph, PA-C
-
Deborah Ann Leblanc, PA-C
-
Laura L Mays, PA-C
-
Mary Jane Oates, ARNP
-
Rani Marie Powierza, NP-BC
-
Michelle Gibson Shinham, PA-C
-
Michelle Thomas Snider, PA-C
-
Thi Thien Tran, DO
-
Philomena Walker, PA
-
Palak Patel, PA
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2036526 | Health First Internal Medicine Associates, LLC | Certificate of waiver | Feb 8, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120120000093 | FL | Part B Supplier - Clinic/Group Practice | 7416124177 |
Receives reassigned benefits from 5 practitioners Practice locations: Lady Lake, FL |
National Provider Directory
Locations
13953 NE 86th Ter
Ste 101
Lady Lake, FL 32159
Phone (352) 633-8681
8562 NE 138th Ln
Lady Lake, FL 32159
Phone (352) 633-8681
13953 NE 86th Ter
Ste 100B
Lady Lake, FL 32159
1400 N US Highway 441
Ste 438
The Villages, FL 32159
Phone (352) 267-4257
11950 County Road 101
Ste 205206
The Villages, FL 32162
1950 Laurel Manor Dr
Ste 224
The Villages, FL 32162
Phone (352) 751-6565
1400 N US Highway 441
Ste 538
The Villages, FL 32159
Phone (352) 391-9401
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | ME88930 | FL | Yes |
Addresses
Primary practice location
8562 NE 138TH LN
Lady Lake, FL 32159-8919
Mailing address
PO Box 2080
Lady Lake, FL 32158-2080
Phone (352) 633-8681
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 269624000 | Medicaid | FL |
Other providers in Lady Lake, FL
- Erica Harden
- Emily Harmon
- Kathleen Harvey
- Meagan Kristi Havenstein
- Healing Hands Help All, LLC
- Hear Rite
- Hearrite, Inc
- Heidis Haven LLC
- Marcia A Herrin
- Antonette B Hicks
All providers in Lady Lake, FL · Internal Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.