Organization Active NPI

Adventist Health System Sunbelt, Inc

Doing business as AdventHealth Primary Care Plus - Clermont Highway 50

  • Family Medicine Physician
  • Clermont, FL
National Provider Identifier
1295304343
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ADVENTIST HEALTH SYSTEM SUNBELT, INC
Doing business as
AdventHealth Primary Care Plus - Clermont Highway 50
Practice address
2349 East Higjway 50
Clermont, FL 34711
Phone
(352) 717-3760
NPI assigned
Jun 23, 2021
Last updated
Jul 17, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ADVENTHEALTH TOTAL HEALTH MANAGEMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Authorized official

Name
Jessica Baird-Wertman
Title
Ceo
Phone
(407) 200-2300

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Family Nurse Practitioner 363LF0000X NU
Family Medicine Physician 207Q00000X NU Primary
Pediatrics Physician 208000000X NU

Addresses

Primary practice location

2349 East Higjway 50
Clermont, FL 34711

Mailing address

2600 Westhall LN Ste 300
Maitland, FL 32751-7107
Phone (407) 200-2300

Other identifiers 2

IdentifierTypeStateIssuer
MEDICAREOtherFLDL090B
111754201MedicaidFL

Other names 1

  • AdventHealth Primary Care Plus - Clermont Highway 50 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100903000981 FL Part B Supplier - Clinic/Group Practice 3274657721 Receives reassigned benefits from 115 practitioners
35 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wesley Chapel, FL; Palm Coast, FL; Palm Harbor, FL; Port Orange, FL; Saint Cloud, FL; Oviedo, FL; Sanford, FL; Spring Hill, FL…

Other NPIs on the same Medicare enrollment 35

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 35

National Provider Directory

National Provider Directory
Tax ID family
Adventist Health Systemsunbelt Inc42 organizations share this tax ID, including this one
Part of
Adventist Health Systemsunbelt Inc

Other organizations with this tax ID 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

Locations

1919 E State Road 50
Clermont, FL 34711
Phone (352) 717-3755

2349 E Highway 50
Clermont, FL 34711
Phone (352) 717-3760

NPI Registry JSON

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1295304343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 WESTHALL LN STE 300",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517107",
            "telephone_number": "407-200-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2349 EAST HIGJWAY 50",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "34711",
            "telephone_number": "352-717-3760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTIST HEALTH SYSTEM SUNBELT, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVENTHEALTH TOTAL HEALTH MANAGEMENT",
        "enumeration_date": "2021-06-23",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "BAIRD-WERTMAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-200-2300"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DL090B",
            "identifier": "MEDICARE",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111754201",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AdventHealth Primary Care Plus - Clermont Highway 50",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AdventHealth Primary Care Plus - Clermont Highway 50",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.

Verify at the official NPI Registry.