Organization Active NPI

Advocatemd Operations, LLC

Doing business as AdvocateMD

  • Family Medicine Physician
  • Venice, FL
National Provider Identifier
1306413356
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ADVOCATEMD OPERATIONS, LLC
Doing business as
AdvocateMD
Practice address
417 Commercial CT Ste C&D
Venice, FL 34292-1655
Phone
(941) 220-0300
Fax
(941) 220-0400
NPI assigned
Jun 8, 2021
Last updated
Jan 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Authorized official

Name
Mr. John Thomas Pennie, CPA
Title
Ceo
Phone
(678) 777-7784

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Internal Medicine Physician 207R00000X NU

Addresses

Primary practice location

417 Commercial CT Ste C&D
Venice, FL 34292-1655

Mailing address

417 Commercial CT Ste C&D
Venice, FL 34292-1655
Phone (941) 220-0300

Other names 1

  • AdvocateMD Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211006000111 FL Part B Supplier - Clinic/Group Practice 8123426145 Receives reassigned benefits from 6 practitioners
Practice locations: Venice, FL

National Provider Directory

National Provider Directory

Locations

417 Commercial Ct
Ste C
Venice, FL 34292
Phone (941) 220-0300

417 Commercial Ct
Ste Cd
Venice, FL 34292
Phone (941) 220-0300

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1306413356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 COMMERCIAL CT STE C&D",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342921655",
            "telephone_number": "941-220-0300",
            "fax_number": "941-220-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 COMMERCIAL CT STE C&D",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342921655",
            "telephone_number": "941-220-0300",
            "fax_number": "941-220-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVOCATEMD OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-08",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "PENNIE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-777-7784",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AdvocateMD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AdvocateMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.