Active NPI
Gericares LLC
- Geriatric Medicine (Internal Medicine) Physician
- Spring Hill, FL
National Provider Identifier
1285789511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- ME81127
- Legal business name
- GERICARES LLC
- Practice address
- 5344 Spring Hill Dr
Spring Hill, FL 34606-4562 - Phone
- (352) 666-0790
- Fax
- (352) 666-0903
- NPI assigned
- Jan 25, 2007
- 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
- Dr. Jimmy Edmond, M.D.
- Title
- Owner
- Phone
- (352) 666-0790
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | ME81127 | FL | Primary |
Addresses
Primary practice location
5344 Spring Hill Dr
Spring Hill, FL 34606-4562
Mailing address
5344 Spring Hill Dr
Spring Hill, FL 34606-4562
Phone (352) 666-0790
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06055 | Other | FL | BLUE CROSS BLUE SHIELD ID |
| 352728686 | Other | FL | TRICARE ID |
| ME81127 | Other | FL | MEDICAL LICENSE NUMBER |
| 1988649 | Other | FL | UNITED HEALTHCARE ID |
| 5589903 | Other | FL | FIRST HEALTH |
| 123192 | Other | FL | HUMANA ID |
| 2795817 00 | Medicaid | FL | |
| 28922 | Other | FL | AVMED ID |
| 125028 | Other | FL | HUMANA GOLD PLUS ID |
| 241506 | Other | FL | WELLCARE ID |
| 00780 | Other | FL | UNIVERSAL ID |
| 7572308 | Other | LA | CIGNA ID |
| 7128124 | Other | FL | AETNA ID |
National Provider Directory
National Provider DirectoryPractitioners & 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": "1169683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193788800000",
"number": "1285789511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5344 SPRING HILL DR",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346064562",
"telephone_number": "352-666-0790",
"fax_number": "352-666-0903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5344 SPRING HILL DR",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346064562",
"telephone_number": "352-666-0790",
"fax_number": "352-666-0903"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GERICARES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-25",
"last_updated": "2007-10-31",
"status": "A",
"authorized_official_last_name": "EDMOND",
"authorized_official_first_name": "JIMMY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "352-666-0790",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "FL",
"license": "ME81127",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD ID",
"identifier": "06055",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE ID",
"identifier": "352728686",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE NUMBER",
"identifier": "ME81127",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE ID",
"identifier": "1988649",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "5589903",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA ID",
"identifier": "123192",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2795817 00",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED ID",
"identifier": "28922",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA GOLD PLUS ID",
"identifier": "125028",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE ID",
"identifier": "241506",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERSAL ID",
"identifier": "00780",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA ID",
"identifier": "7572308",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA ID",
"identifier": "7128124",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spring Hill, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.