Organization Active NPI

Anchor Direct Primary Care, LLC

  • Primary Care Clinic/Center
  • Winter Park, FL
National Provider Identifier
1245726652
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ANCHOR DIRECT PRIMARY CARE, LLC
Practice address
1850 Lee Rd Ste 134
Winter Park, FL 32789-2104
Phone
(407) 634-1690
Fax
(407) 369-4236
NPI assigned
Jul 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Authorized official

Name
Matthew Rensberry, MD, MBANPI 1407054851
Title
President/Physician
Phone
(407) 634-1690

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1850 Lee Rd Ste 134
Winter Park, FL 32789-2104

Mailing address

1850 Lee Rd Ste 134
Winter Park, FL 32789-2104
Phone (407) 634-1690

National Provider Directory

National Provider Directory

Locations

2909 N Orange Ave
Ste 101
Orlando, FL 32804
Phone (407) 228-4600

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": "1531094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1245726652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 LEE RD STE 134",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892104",
            "telephone_number": "407-634-1690",
            "fax_number": "407-369-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 LEE RD STE 134",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892104",
            "telephone_number": "407-634-1690",
            "fax_number": "407-369-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHOR DIRECT PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-09",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "RENSBERRY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "407-634-1690",
        "authorized_official_credential": "MD, MBA"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.