Individual provider Active NPI

Elizabeth Kolich, PA-C

  • Physician Assistant
  • Apopka, FL
National Provider Identifier
1447946587
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9117293 Issued in FL
Practice address
531 Wekiva Commons Cir
Apopka, FL 32712-3645
Phone
(800) 827-7546
NPI assigned
Apr 12, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X PA9117293 FL
Physician Assistant 363A00000X PA9117293 FL Primary

Addresses

Primary practice location

531 Wekiva Commons Cir
Apopka, FL 32712-3645

Mailing address

1139 Degraw Dr
Apopka, FL 32712-6406
Phone (561) 891-1950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230501001023 FL Practitioner - Physician Assistant 9032574819 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Medical Associates of Florida Healthcare, PAGroup PAC ID 6800200940, 64 clinicians

Practice addresses (Care Compare)

1580 Santa Barbara Blvd
The Villages, FL 32159-6827
Phone (352) 259-2159

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Associates of Florida LLC Single Specialty CurrentSince Apr 20, 2025 Accepting new patients

Locations

1580 Santa Barbara Blvd
Ste D
The Villages, FL 32159
Phone (352) 508-1512

1511 Buenos Aires Blvd
Ste A
The Villages, FL 32159
Phone (352) 753-6846

910 Old Camp Rd
Ste 130
The Villages, FL 32162
Phone (352) 326-5254

1580 Santa Barbara Blvd
The Villages, FL 32159
Phone (352) 494-6882

Networks

  • Freedom Health HMO Network

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1447946587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 DEGRAW DR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327126406",
            "telephone_number": "561-891-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 WEKIVA COMMONS CIR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327123645",
            "telephone_number": "800-827-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLICH",
        "first_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-12",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "PA9117293",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9117293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

Verify at the official NPI Registry.