Adventist Health System/Sunbelt, Inc
Organization Active NPI Family Medicine Physician · Clermont, FL
NPI 1073301099 · NPPES record last updated Jul 17, 2026
Key facts
- NPI
- 1073301099
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ADVENTIST HEALTH SYSTEM/SUNBELT, INC
- Practice address
- 3382 South US Hwy 27
Clermont, FL 34711 - Phone
- (352) 988-6160
- Fax
- (352) 988-6161
- NPI assigned
- Apr 29, 2025
- 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
Corporate family (same tax ID) 41
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2327339 | Adventhealth Primary Care+ | Certificate of waiver | Jul 21, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Part of
- Adventist Health Systemsunbelt Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Pediatrics Physician |
208000000X | |||
| Physician Assistant |
363A00000X | |||
| Family Nurse Practitioner |
363LF0000X |
Addresses
Primary practice location
3382 South US Hwy 27
Clermont, FL 34711
Mailing address
2600 Westhall LN Ste 300
Maitland, FL 32751-7107
Phone (407) 200-2300
Other names
- AdventHealth Total Health Management AH Primary Care Plus - Clermont Hammock Ridge
Other providers in Clermont, FL
- Advanced Speech & Rehab Services, LLC
- Adventist Health System /Sunbelt, Inc.
- Adventist Health System Sunbelt, Inc
- Adventist Health System-Sunbelt, Inc
- Adventist Health System/Sunbelt Inc
- Adventist Health System/Sunbelt, Inc
- Aendira Medical LLC
- Aesthetic Dermatology PA
- Mohammad Afzal
- Agape Compassionate Care
All providers in Clermont, FL · Family 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 Jul 17, 2026. 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.