Organization Active NPI

Hernando Primary Health LLC

  • Family Medicine Physician
  • Spring Hill, FL
National Provider Identifier
1518793397
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HERNANDO PRIMARY HEALTH LLC
Practice address
4169 Lamson Ave
Spring Hill, FL 34608-3707
Phone
(352) 667-2828
NPI assigned
Sep 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Authorized official

Name
Kimberly Le
Title
Billing Manager
Phone
(352) 604-9980

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Adolescent Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

4169 Lamson Ave
Spring Hill, FL 34608-3707

Mailing address

4169 Lamson Ave
Spring Hill, FL 34608-3707
Phone (352) 604-9980

Other practice location 1

8425 Balm St
Weeki Wachee, FL 34607-4419
Phone (352) 667-2828

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260212002679 FL Part B Supplier - Clinic/Group Practice 3173003886 Receives reassigned benefits from 2 practitioners
Practice locations: Weeki Wachee, FL; Spring Hill, 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
10D2343629Hernando Primary Health, LLC4169 Lamson Ave Suite 100, Spring Hill, FL 34608Certificate of waiverMay 10, 2028

National Provider Directory

National Provider Directory

Locations

4169 Lamson Ave
Spring Hill, FL 34608
Phone (352) 596-7887

4169 Lamson Ave
Ste 100
Spring Hill, FL 34608
Phone (352) 515-0136

8423 Balm St
Weeki Wachee, FL 34607

Practitioners & affiliated clinicians

Practitioners 3

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": "1725926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774569600000",
    "number": "1518793397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4169 LAMSON AVE",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346083707",
            "telephone_number": "352-604-9980",
            "fax_number": "352-309-7452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4169 LAMSON AVE",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346083707",
            "telephone_number": "352-667-2828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8425 Balm St",
            "address_purpose": "LOCATION",
            "city": "Weeki Wachee",
            "state": "FL",
            "postal_code": "346074419",
            "country_code": "US",
            "telephone_number": "352-667-2828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HERNANDO PRIMARY HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-10",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "352-604-9980"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QA0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.