Dr K Primary Care, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DR K PRIMARY CARE, LLC

Doing business as

Dr K Primary Care

Practice address

3801 Woodbriar TRL
Port Orange, FL 32129-9627

Phone

(386) 382-7177

NPI assigned

Jan 26, 2022

Organization subpart

No

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

Authorized official

Name

Samira Karakossian, MDNPI 1710114780

Title

Owner

Phone

(386) 382-7177

Specialties & licenses 1

Addresses

Other names 1

• Dr K Primary Care Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samira Karakossian, MD

  • Family Medicine Physician
  • Port Orange, FL
  • NPI 1710114780
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1215689757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 612",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321700612",
            "telephone_number": "386-382-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 WOODBRIAR TRL",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321299627",
            "telephone_number": "386-382-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR K PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "KARAKOSSIAN",
        "authorized_official_first_name": "SAMIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-382-7177",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr K Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeannie Laslo Douglas, AP, DIPL OM, ERYT
• Paul Douglas
• Josh Dowd
• Dr Anthony S Capozzi LLC
• Dr Joseph Battaglia DC PA
• Dr. Michael Hay and Associates, LLC
• Dr. Pamela Kirby PA (Pamela Kirby, DPM)
• Dr. Pamela Kirby PA
• Mallory Driggers, MA, LMHC
• Wesley Jay Driggers, MD, PHD

• Family Medicine Physician in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.