Active NPI
Family Health Enterprises Inc
Doing business as Lady Lake Family Medicine
- Family Medicine Physician
- Lady Lake, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FAMILY HEALTH ENTERPRISES INC
- Doing business as
- Lady Lake Family Medicine
- Practice address
- 607 Highway 466
Lady Lake, FL 32159-3792 - Phone
- (352) 259-7994
- Fax
- (352) 259-7992
- NPI assigned
- Jul 8, 2006
- Last updated
- Feb 6, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John D Burress, DO
- Title
- President
- Phone
- (352) 259-7994
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
607 Highway 466
Lady Lake, FL 32159-3792
Mailing address
PO Box 1777
Lady Lake, FL 32158-1777
Phone (352) 259-7994
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC9694 | Other | FL | RAILROAD MEDICARE |
Other names 1
- Lady Lake Family Medicine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0997539 | Lady Lake Family Medicine | Certificate of waiver | Sep 27, 2027 |
National Provider Directory
National Provider DirectoryLocations
607 Highway 466
Lady Lake, FL 32159
Phone (352) 259-7994
607 Highway 466
Ste B
Lady Lake, FL 32159
Phone (352) 259-7994
Practitioners & affiliated clinicians
Practitioners 10
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.
-
- Family Medicine Physician
- Lady Lake, FL
- NPI 1649295973
-
- Primary Care Nurse Practitioner
- Ocala, FL
- NPI 1487078200
-
- Nurse Practitioner
- Lady Lake, FL
- NPI 1538671672
-
- Adult Medicine Physician
- Lady Lake, FL
- NPI 1659011070
-
- Family Nurse Practitioner
- The Villages, FL
- NPI 1326463407
-
- Family Nurse Practitioner
- Daytona Beach, FL
- NPI 1982945200
-
- Nurse Practitioner
- Lady Lake, FL
- NPI 1821353350
-
- Physician Assistant
- Lady Lake, FL
- NPI 1366414724
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Ocala, FL
- NPI 1245478452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360108800000",
"number": "1538192075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1777",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "321581777",
"telephone_number": "352-259-7994",
"fax_number": "352-259-7992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 HIGHWAY 466",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "321593792",
"telephone_number": "352-259-7994",
"fax_number": "352-259-7992"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY HEALTH ENTERPRISES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-08",
"last_updated": "2013-02-06",
"status": "A",
"authorized_official_last_name": "BURRESS",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "352-259-7994",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DC9694",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lady Lake Family Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lady Lake, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; 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.