NPIMap

Organization Active NPI

Starke Family Medical Center Inc

Doing business as immediate care center of starke

  • Family Medicine Physician
  • Starke, FL
National Provider Identifier
1487727038
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
STARKE FAMILY MEDICAL CENTER INC
Doing business as
immediate care center of starke
Practice address
345 W Madison St
Starke, FL 32091-3923
Phone
(904) 964-5455
Fax
(904) 964-2015
NPI assigned
Nov 15, 2006
Last updated
Apr 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Authorized official

Name
Ellen Janine Sikes
Title
President
Phone
(904) 964-5455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

345 W Madison St
Starke, FL 32091-3923

Mailing address

345 W Madison St
Starke, FL 32091-3923
Phone (904) 964-5455

Other identifiers 1

IdentifierTypeStateIssuer
263114800MedicaidFL

Other names 1

  • immediate care center of starke Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040701000581 FL Part B Supplier - Clinic/Group Practice 0143207704 Receives reassigned benefits from 14 practitioners
Practice locations: Starke, FL; Lake Butler, FL; Keystone Heights, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0887237Starke Family Medical Center345 W Madison St, Starke, FL 32091Certificate of waiverJun 7, 2028

National Provider Directory

National Provider Directory
Tax ID family
Starke Family Medical Center Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

175 N Lawrence Blvd
Keystone Heights, FL 32656
Phone (352) 473-3199

175 S Lawrence Blvd
Keystone Heights, FL 32656

155 SE 6th Pl
Lake Butler, FL 32054
Phone (386) 438-8391

275 W Main St
Lake Butler, FL 32054
Phone (386) 496-1236

7350 Sandlake Commons Blvd
Ste 1102
Orlando, FL 32819
Phone (321) 843-5500

339 Cypress Pkwy
Ste 240
Poinciana, FL 34759
Phone (407) 279-5990

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1487727038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 W MADISON ST",
            "city": "STARKE",
            "state": "FL",
            "postal_code": "320913923",
            "telephone_number": "904-964-5455",
            "fax_number": "904-964-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 W MADISON ST",
            "city": "STARKE",
            "state": "FL",
            "postal_code": "320913923",
            "telephone_number": "904-964-5455",
            "fax_number": "904-964-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARKE FAMILY MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A",
        "authorized_official_last_name": "SIKES",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "JANINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-964-5455"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263114800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "immediate care center of starke",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "immediate care center of starke",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Starke, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.

Verify at the official NPI Registry.