Organization Active NPI

Wellmed Medical Management of Florida, Inc.

  • Family Medicine Physician
  • Kissimmee, FL
National Provider Identifier
1053695312
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
PENDING Issued in FL
Legal business name
WELLMED MEDICAL MANAGEMENT OF FLORIDA, INC.
Practice address
591 Oak Commons Blvd
Kissimmee, FL 34741-4202
Phone
(210) 877-7570
NPI assigned
Oct 5, 2011
Last updated
Oct 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. George M. Rapier III, M.D.NPI 1801893581
Title
President
Phone
(210) 617-4706

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X PENDING FL Primary
Internal Medicine Physician 207R00000X PENDING FL

Addresses

Primary practice location

591 Oak Commons Blvd
Kissimmee, FL 34741-4202

Mailing address

8637 Fredericksburg Rd
Suite 360
San Antonio, TX 78240-1219
Phone (210) 877-7570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080815000432 FL Part B Supplier - Clinic/Group Practice 3971678558 Receives reassigned benefits from 209 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Orlando, FL; Palm Harbor, FL; Plant City, FL; Port St Lucie, FL; Port St. Lucie, FL; Sanford, FL; Sebastian, FL; St Petersburg, FL…

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1053695312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8637 FREDERICKSBURG RD",
            "address_2": "SUITE 360",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401219",
            "telephone_number": "210-877-7570",
            "fax_number": "210-641-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 OAK COMMONS BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414202",
            "telephone_number": "210-877-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLMED MEDICAL MANAGEMENT OF FLORIDA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-05",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "RAPIER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-617-4706",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "PENDING",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "PENDING",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.