NPIMap

Organization Active NPI

Adventist Health System/Sunbelt, Inc.

Doing business as AdventHealth Total Health Management Primary Care Plus Waterford Lakes

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1346766540
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 Total Health Management Primary Care Plus Waterford Lakes
Practice address
885 N Alafaya TRL # G04
Orlando, FL 32828-7049
Phone
(407) 200-2300
NPI assigned
Aug 18, 2017
Last updated
Jul 17, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ADVENTIST HEALTH SYSTEM/SUNBELT, INC.As 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

885 N Alafaya TRL # G04
Orlando, FL 32828-7049

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
DL090BOtherFLMEDICARE
111754203MedicaidFL

Other names 1

  • AdventHealth Total Health Management Primary Care Plus Waterford Lakes 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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2241257Adventhealth Primary Care + Waterford885 Alafaya Trail Unit G04, Orlando, FL 32828Certificate of waiverOct 25, 2027

National Provider Directory

National Provider Directory
Part of
Adventist Health Systemsunbelt Inc

Locations

885 N Alafaya Trl
#G4
Orlando, FL 32828

Practitioners & affiliated clinicians

Practitioners 1

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": "1503014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1346766540",
    "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",
            "fax_number": "407-200-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 N ALAFAYA TRL # G04",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287049",
            "telephone_number": "407-200-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTIST HEALTH SYSTEM/SUNBELT, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVENTIST HEALTH SYSTEM/SUNBELT, INC.",
        "enumeration_date": "2017-08-18",
        "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": "MEDICARE",
            "identifier": "DL090B",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111754203",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AdventHealth Total Health Management Primary Care Plus Waterford Lakes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.