Active NPI
Scheri-Lyn A. Makombe, MD
- Family Medicine Physician
- Largo, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME153100
- Practice address
- 1301 2ND Ave SW
Largo, FL 33770-2298 - Phone
- (727) 581-8767
- Fax
- (727) 581-3727
- NPI assigned
- Jun 30, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01072864A | IN | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 11016301A | IN | |
| Family Medicine Physician | 207Q00000X | ME153100 | FL | Primary |
Addresses
Primary practice location
1301 2ND Ave SW
Largo, FL 33770-2298
Mailing address
1301 2ND Ave SW
Largo, FL 33770-2298
Phone (727) 581-8767
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01424380 | Other | IN | RR MEDICARE |
| 201068180 | Medicaid | IN | |
| K0M8M | Other | FL | FL BLUE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01072864A | IN | MD | Family Medicine Physician |
| 11016301A | IN | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resurgia Health Solutions PC | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
1100 Peachtree St NE
Ste 200
Atlanta, GA 30309
Phone (404) 445-5304
Interoperability endpoints
- scheri.makombe@rhsl-ga.direct.office.nextgen.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Adventhealth North Pinellas | Hospital | Corporate Director | Sep 18, 2024 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- General Acute Care Hospital
- Tarpon Springs, FL
- NPI 1568473015
Corporate Director
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1851702153
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645574400000",
"number": "1295022036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 2ND AVE SW",
"city": "LARGO",
"state": "FL",
"postal_code": "337702298",
"telephone_number": "727-581-8767",
"fax_number": "727-581-3727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 2ND AVE SW",
"city": "LARGO",
"state": "FL",
"postal_code": "337702298",
"telephone_number": "727-581-8767",
"fax_number": "727-581-3727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAKOMBE",
"first_name": "SCHERI-LYN",
"middle_name": "A.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-30",
"last_updated": "2022-02-23",
"certification_date": "2022-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01072864A",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IN",
"license": "11016301A",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME153100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01424380",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201068180",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL BLUE",
"identifier": "K0M8M",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.