Individual provider Active NPI

Lauren Michele Dedea, M.D.

  • Family Medicine Physician
  • Spring Hill, FL
National Provider Identifier
1053722009
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME137363 Issued in FL
Practice address
4052 Commercial Way
Spring Hill, FL 34606-2398
Phone
(352) 610-4812
Fax
(352) 556-4980
NPI assigned
May 13, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME137363 FL Primary

Addresses

Primary practice location

4052 Commercial Way
Spring Hill, FL 34606-2398

Mailing address

PO Box 5100
Spring Hill, FL 34611-5100
Phone (352) 610-4812

Other identifiers 2

IdentifierTypeStateIssuer
101025300MedicaidFL
PHUU1OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190125001779 FL Practitioner - Family Practice 6305148651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Toast and Toller Concierge Medicine, LLCGroup PAC ID 0547647588, 3 clinicians

Practice addresses (Care Compare)

4052 Commercial Way
Spring Hill, FL 34606-2398
Phone (352) 610-4812

Hospital & facility affiliations

  • HCA Florida Oak Hill Hospital Hospital, Brooksville, FL, CCN 100264

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
006856GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Toast and Toller Concierge Medicine, LLC Family Medicine CurrentSince May 1, 2021 Accepting new patients
William C Chaney DC PA PastSince Jan 11, 2022 Accepting new patients
Bodyalign Chiropractic & Massage Therapy, Inc PastSince Dec 1, 2021 Accepting new patients

Locations

10523 Hearth Rd
Spring Hill, FL 34608
Phone (352) 610-4335

4052 Commercial Way
Spring Hill, FL 34606
Phone (352) 610-4812

Interoperability endpoints

  • Direct secure messaging: lauren.dedea@449565132455940.direct.elationemr.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1053722009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5100",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346115100",
            "telephone_number": "352-610-4812",
            "fax_number": "352-556-4980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4052 COMMERCIAL WAY",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346062398",
            "telephone_number": "352-610-4812",
            "fax_number": "352-556-4980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEDEA",
        "first_name": "LAUREN",
        "middle_name": "MICHELE",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-13",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME137363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101025300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "PHUU1",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

Verify at the official NPI Registry.