NPIMap

Organization Active NPI

Port Charlotte Hma Physician MGMT LLC

Doing business as Charlotte Urgent Care

  • Emergency Medicine Physician
  • Port Charlotte, FL
National Provider Identifier
1427291673
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
PORT CHARLOTTE HMA PHYSICIAN MGMT LLC
Doing business as
Charlotte Urgent Care
Practice address
3067 Tamiami TRL
Unit 1
Port Charlotte, FL 33952-6601
Phone
(941) 258-3575
Fax
(941) 258-3584
NPI assigned
Apr 16, 2009
Last updated
Mar 18, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
HEALTH MANAGEMENT ASSOCIATES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

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

Authorized official

Name
Ms. Jenny Jackson
Title
Senior Director Provider Enrollment
Phone
(615) 465-3334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Primary

Addresses

Primary practice location

3067 Tamiami TRL
Unit 1
Port Charlotte, FL 33952-6601

Mailing address

5811 Pelican Bay Blvd
Suite 500
Naples, FL 34108-2704
Phone (239) 598-3131

Other names 1

  • Charlotte Urgent Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Port Charlotte Hma Physician MGMT LLC21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647561600000",
    "number": "1427291673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5811 PELICAN BAY BLVD",
            "address_2": "SUITE 500",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341082704",
            "telephone_number": "239-598-3131",
            "fax_number": "239-598-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3067 TAMIAMI TRL",
            "address_2": "UNIT 1",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526601",
            "telephone_number": "941-258-3575",
            "fax_number": "941-258-3584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT CHARLOTTE HMA PHYSICIAN MGMT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTH MANAGEMENT ASSOCIATES, INC",
        "enumeration_date": "2009-04-16",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "SENIOR DIRECTOR PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "615-465-3334",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charlotte Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Charlotte Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.