Active NPI
Tcmmd LLC
- Family Medicine Physician
- Fort Pierce, FL
National Provider Identifier
1033804265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- TCMMD LLC
- Practice address
- 2011 S 25TH St Ste 206
Fort Pierce, FL 34947-4795 - Phone
- (772) 237-3600
- Fax
- (772) 236-7887
- NPI assigned
- Apr 5, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Matthew Scott Kuykendall Sr.
- Title
- President
- Phone
- (772) 410-7751
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2011 S 25TH St Ste 206
Fort Pierce, FL 34947-4795
Mailing address
2011 S 25TH St Ste 206
Fort Pierce, FL 34947-4795
Phone (772) 237-3600
Other names 1
- Treasure Coast Medical
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250115003702 | FL | Part B Supplier - Clinic/Group Practice | 8224566401 |
Receives reassigned benefits from 2 practitioners Practice locations: Fort Pierce, FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2263775 | Treasure Coast Medical | Certificate of waiver | Jul 4, 2026 |
National Provider Directory
National Provider DirectoryLocations
2011 S 25th St
Ste 206
Fort Pierce, FL 34947
Phone (772) 237-3600
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680652800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762300800000",
"number": "1033804265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2011 S 25TH ST STE 206",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349474795",
"telephone_number": "772-237-3600",
"fax_number": "772-236-7887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2011 S 25TH ST STE 206",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349474795",
"telephone_number": "772-237-3600",
"fax_number": "772-236-7887"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TCMMD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-05",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A",
"authorized_official_last_name": "KUYKENDALL",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "772-410-7751",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Treasure Coast Medical",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Treasure Coast Medical",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.