NPIMap

Organization Active NPI

Privia Medical Group Florida LLC

Doing business as Advanced Podiatry and Neuropathy Center LLC

  • Foot & Ankle Surgery Podiatrist
  • Fort Myers, FL
National Provider Identifier
1568328847
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
PRIVIA MEDICAL GROUP FLORIDA LLC
Doing business as
Advanced Podiatry and Neuropathy Center LLC
Practice address
13782 Plantation Rd Ste 103
Fort Myers, FL 33912-4462
Phone
(239) 204-5602
Fax
(239) 309-0645
NPI assigned
Dec 30, 2025
Last updated
Sep 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Authorized official

Name
Lora Morse
Title
Vice President RCM
Phone
(321) 419-7360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X Primary

Addresses

Primary practice location

13782 Plantation Rd Ste 103
Fort Myers, FL 33912-4462

Mailing address

3715 Northside Pkwy NW BLDG 100
Ste 550
Atlanta, GA 30327-2886
Phone (770) 312-5226

Other names 1

  • ADVANCED PODIATRY AND NEUROPATHY CENTER LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260521000612 FL DME Supplier - Physician - Podiatry 3173965993 Practice locations: Fort Myers, FL

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Advanced Podiatry and Neuropathy Center LLC4 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.

NPI Registry JSON

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

{
    "created_epoch": "1767052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790208000000",
    "number": "1568328847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 NORTHSIDE PKWY NW BLDG 100",
            "address_2": "STE 550",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272886",
            "telephone_number": "770-312-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13782 PLANTATION RD STE 103",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124462",
            "telephone_number": "239-204-5602",
            "fax_number": "239-309-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVIA MEDICAL GROUP FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-30",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A",
        "authorized_official_last_name": "MORSE",
        "authorized_official_first_name": "LORA",
        "authorized_official_title_or_position": "VICE PRESIDENT RCM",
        "authorized_official_telephone_number": "321-419-7360"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED PODIATRY AND NEUROPATHY CENTER LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; 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.