Active NPI
Physicians for Accountable Care, LLC
- Radiation Oncology Physician
- Lady Lake, FL
National Provider Identifier
1124014709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- Legal business name
- PHYSICIANS FOR ACCOUNTABLE CARE, LLC
- Practice address
- 922 Rolling Acres Rd Ste 1
Lady Lake, FL 32159-5037 - Phone
- (352) 674-6300
- Fax
- (353) 753-6399
- NPI assigned
- Sep 20, 2005
- Last updated
- Mar 15, 2022
- 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
- Rebecca Grohler
- Title
- Manager
- Phone
- (352) 674-6300
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | NU | Primary | |
| Urology Physician | 208800000X | NU |
Addresses
Primary practice location
922 Rolling Acres Rd Ste 1
Lady Lake, FL 32159-5037
Mailing address
922 Rolling Acres Rd Ste 1
Lady Lake, FL 32159-5037
Phone (352) 674-6300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 061970100 | Medicaid | FL | |
| C12688 | Other | FL | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
922 Rolling Acres Rd
Ste 1
Lady Lake, FL 32159
Phone (352) 674-6300
301 S Lake St
Leesburg, FL 34748
Phone (352) 326-2224
Practitioners & affiliated clinicians
Practitioners 10
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.
-
- Radiation Oncology Physician
- Lady Lake, FL
- NPI 1871614909
-
- Radiation Oncology Physician
- Clermont, FL
- NPI 1588660658
-
- Radiation Oncology Physician
- Lakeland, FL
- NPI 1699766881
-
- Radiation Oncology Physician
- Lake City, FL
- NPI 1598756074
-
- Radiation Oncology Physician
- Gainesville, FL
- NPI 1588649479
-
- Radiation Oncology Physician
- Ocala, FL
- NPI 1316908833
-
- Nurse Practitioner
- Lady Lake, FL
- NPI 1720077415
-
- Radiation Oncology Physician
- Antioch, CA
- NPI 1306839915
-
- Radiation Oncology Physician
- Appleton, WI
- NPI 1780677906
-
- Radiation Oncology Physician
- Laredo, TX
- NPI 1760663991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647302400000",
"number": "1124014709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "922 ROLLING ACRES RD STE 1",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "321595037",
"telephone_number": "352-674-6300",
"fax_number": "527-536-3993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "922 ROLLING ACRES RD STE 1",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "321595037",
"telephone_number": "352-674-6300",
"fax_number": "353-753-6399"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIANS FOR ACCOUNTABLE CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-20",
"last_updated": "2022-03-15",
"certification_date": "2022-03-15",
"status": "A",
"authorized_official_last_name": "GROHLER",
"authorized_official_first_name": "REBECCA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "352-674-6300"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "061970100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "C12688",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lady Lake, FL
- Emily Perry-Hartlein, APRN
- Personal Pulmonary Health Care Inc
- Brittany Beary Petherbridge, COUNSELOR INTERN
- Michele Pettorini
- Physicians Audiology Service, Inc (Advanced Hearing Centers of America)
- Physicians for Quality Healthcare,Inc (physicians rehabilitation)
- Carlo Francis Pilapil
- Pimendent, PA
- Cheryl Lynn Pisano, DMD
- David Posada, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.