Organization Active NPI

Tania McLean Adult & Geriatric Primary Care Services, LLC

  • General Practice Physician
  • Port St Lucie, FL
National Provider Identifier
1083192819
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
TANIA MCLEAN ADULT & GERIATRIC PRIMARY CARE SERVICES, LLC
Practice address
4182 SW Baird St
Port St Lucie, FL 34953-3136
Phone
(561) 714-6059
NPI assigned
Aug 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Authorized official

Name
Tania Burey McLean, APRN-BCNPI 1760843304
Title
Owner
Phone
(561) 714-6059

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

4182 SW Baird St
Port St Lucie, FL 34953-3136

Mailing address

4182 SW Baird St
Port St Lucie, FL 34953-3136
Phone (561) 714-6059

Other names 2

  • Quality Wellness Doing business as
  • Quality Wellness House Calls Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200612002106 FL Part B Supplier - Clinic/Group Practice 3678995040 Receives reassigned benefits from 1 practitioner
Practice locations: Port St Lucie, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2189356Tania McLean Adult & Geriatric Primary Care4182 SW Baird Street, Port Saint Lucie, FL 34953Certificate of waiverJul 28, 2026

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.

NPI Registry JSON

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1083192819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4182 SW BAIRD ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349533136",
            "telephone_number": "561-714-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4182 SW BAIRD ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349533136",
            "telephone_number": "561-714-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANIA MCLEAN ADULT & GERIATRIC PRIMARY CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-02",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "BUREY MCLEAN",
        "authorized_official_first_name": "TANIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-714-6059",
        "authorized_official_credential": "APRN-BC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quality Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Quality Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Quality Wellness House Calls",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.

Verify at the official NPI Registry.