Active NPI
The Primary Care Center of Lake City Richard L. Wright Jr MD, PA
- General Practice Physician
- Lake City, FL
National Provider Identifier
1366460297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- THE PRIMARY CARE CENTER OF LAKE CITY RICHARD L. WRIGHT JR MD, PA
- Practice address
- 221 SW Stonegate Ter Ste 101
Lake City, FL 32024-3463 - Phone
- (386) 755-0421
- Fax
- (386) 487-1234
- NPI assigned
- Jul 18, 2006
- 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
- Sara Wright
- Title
- Office Manager/Cfo
- Phone
- (386) 755-0421
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
221 SW Stonegate Ter Ste 101
Lake City, FL 32024-3463
Mailing address
221 SW Stonegate Ter Ste 101
Lake City, FL 32024-3463
Phone (386) 755-0421
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DF1648 | Other | FL | RAILROAD MEDICARE |
| 240513 | Other | FL | AVMED |
| 12045 | Other | FL | BCBS |
Other names 1
- Health Care Institute of North Florida
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0266981 | Primary Care Center of Lake City, the | Certificate of waiver | Jun 4, 2027 |
National Provider Directory
National Provider DirectoryLocations
1289 SW State Road 47
Lake City, FL 32025
Phone (386) 755-0421
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Lake City, FL
- NPI 1700337458
-
- Family Medicine Physician
- Lake City, FL
- NPI 1144284217
-
- Primary Care Nurse Practitioner
- Lake City, FL
- NPI 1225988843
-
- Primary Care Nurse Practitioner
- Lake City, FL
- NPI 1619618519
-
- Medical Physician Assistant
- Lake City, FL
- NPI 1841422185
-
- Physician Assistant
- Lake City, FL
- NPI 1619300944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773878400000",
"number": "1366460297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 SW STONEGATE TER STE 101",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320243463",
"telephone_number": "386-755-0421",
"fax_number": "877-698-9577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 SW STONEGATE TER STE 101",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320243463",
"telephone_number": "386-755-0421",
"fax_number": "386-487-1234"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE PRIMARY CARE CENTER OF LAKE CITY RICHARD L. WRIGHT JR MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-18",
"last_updated": "2026-03-19",
"certification_date": "2026-03-19",
"status": "A",
"authorized_official_last_name": "WRIGHT",
"authorized_official_first_name": "SARA",
"authorized_official_title_or_position": "OFFICE MANAGER/CFO",
"authorized_official_telephone_number": "386-755-0421"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DF1648",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "240513",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "12045",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Health Care Institute of North Florida",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lake City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.