Organization Active NPI

Family Medical Community Center, 'Inc'

Doing business as Marjorie M Gedeon

  • Primary Care Clinic/Center
  • Fort Pierce, FL
National Provider Identifier
1457178691
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
FAMILY MEDICAL COMMUNITY CENTER, 'INC'
Doing business as
Marjorie M Gedeon
Practice address
3215 S US Highway 1 Ste B
Fort Pierce, FL 34982-6379
Phone
(772) 241-5031
Fax
(800) 920-8929
NPI assigned
Sep 19, 2024
Last updated
Sep 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Authorized official

Name
Marjorie Mercie Gedeon, ARNPNPI 1245738566
Title
President
Phone
(772) 241-5031

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

3215 S US Highway 1 Ste B
Fort Pierce, FL 34982-6379

Mailing address

3215 S US Highway 1 Ste B
Fort Pierce, FL 34982-6379
Phone (772) 241-5031

Other names 1

  • Marjorie M Gedeon Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241203004703 FL Part B Supplier - Clinic/Group Practice 5294261004 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Pierce, FL

National Provider Directory

National Provider Directory

Locations

3215 S US Highway 1
Ste B
Fort Pierce, FL 34982
Phone (772) 241-5031

Practitioners & affiliated clinicians

Practitioners 2

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": "1726704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1457178691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 S US HIGHWAY 1 STE B",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349826379",
            "telephone_number": "772-241-5031",
            "fax_number": "800-920-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 S US HIGHWAY 1 STE B",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349826379",
            "telephone_number": "772-241-5031",
            "fax_number": "800-920-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL COMMUNITY CENTER, 'INC'",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "GEDEON",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_middle_name": "MERCIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-241-5031",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marjorie M Gedeon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.