NPIMap

Organization Active NPI

Nava Health Medical Group, LLC

  • Family Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1487428231
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NAVA HEALTH MEDICAL GROUP, LLC
Practice address
5030 Champion Blvd Ste G7
Boca Raton, FL 33496-2477
Phone
(800) 762-6282
NPI assigned
Nov 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Authorized official

Name
Tammy Muir
Title
Compliance Officer
Phone
(410) 910-5959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5030 Champion Blvd Ste G7
Boca Raton, FL 33496-2477

Mailing address

9755 Patuxent Woods Dr Ste 100
Columbia, MD 21046-2288

Other names 1

  • Integrated Wellness MD, LLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Nava HLTH Med GRP LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

9755 Patuxent Woods Dr
Ste 100
Columbia, MD 21046
Phone (410) 910-5959

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1487428231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9755 PATUXENT WOODS DR STE 100",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 CHAMPION BLVD STE G7",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962477",
            "telephone_number": "800-762-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVA HEALTH MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "MUIR",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "410-910-5959"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Wellness MD, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.