Gericare Center LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME81127 Issued in FL

Legal business name

GERICARE CENTER LLC

Practice address

7539 Spring Hill Dr
Spring Hill, FL 34606-4350

Phone

(352) 666-0790

Fax

(352) 666-0903

NPI assigned

Oct 27, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jimmy Edmond, M.D.NPI 1821011974

Title

Physician

Phone

(352) 666-0790

Specialties & licenses 1

Addresses

Other identifiers 15

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 4

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

• Jimmy Edmond, MD

  • Internal Medicine Physician
  • Spring Hill, FL
  • NPI 1821011974
  Medicare reassignment NPD Authorized official
• Sylvie D Lemire, ARNP

  • Family Nurse Practitioner
  • Spring Hill, FL
  • NPI 1659793917
  Medicare reassignment NPD
• Haley Walker, PA-C

  • Physician Assistant
  • Seminole, FL
  • NPI 1932822079
  Medicare reassignment
• Aubrey Paige Robinson, PA-C

  • Medical Physician Assistant
  • New Port Richey, FL
  • NPI 1245805092

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1629378310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7539 SPRING HILL DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346064350",
            "telephone_number": "352-666-0790",
            "fax_number": "352-666-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7539 SPRING HILL DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346064350",
            "telephone_number": "352-666-0790",
            "fax_number": "352-666-0903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERICARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-27",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "EDMOND",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "352-666-0790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME81127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA GOLD PLUS ID",
            "identifier": "125028",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH ID",
            "identifier": "5589903",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID",
            "identifier": "7128124",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM ID",
            "identifier": "P004912",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSAL ID",
            "identifier": "00780",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA ID",
            "identifier": "123192",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279581700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FREEDOM ID",
            "identifier": "P04912",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE ID",
            "identifier": "1988649",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE ID",
            "identifier": "241506",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED ID",
            "identifier": "28922",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI ID",
            "identifier": "0153626",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "06055",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA ID",
            "identifier": "7572308",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE ID",
            "identifier": "ME81127",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Gelinas
• Genesis World Evangelism Inc
• George Sidhom MD PA
• Mitchell Gerchman
• Pauline P Gerchman
• Gericares LLC
• Shelly Lynn Gerlach, RN, MSN, FNP
• Geronimo Multiservices
• Michael Emanuel Gialousis, D.C.
• James Williams Gibney, DMD

• Internal Medicine Physician in Spring Hill, FL
• Providers in Spring Hill, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.