Organization Active NPI

Inverness Family Care High Risk PLLC

  • Family Medicine Physician
  • Inverness, FL
National Provider Identifier
1679022602
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS 8408 Issued in FL
Legal business name
INVERNESS FAMILY CARE HIGH RISK PLLC
Practice address
2401 Forest Dr
Inverness, FL 34453-3720
Phone
(352) 344-3777
NPI assigned
Oct 3, 2016
Last updated
Nov 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Authorized official

Name
Steven Connor
Title
Practice Administrator
Phone
(352) 344-3777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS 8408 FL Primary

Addresses

Primary practice location

2401 Forest Dr
Inverness, FL 34453-3720

Mailing address

2401 Forest Dr
Inverness, FL 34453-3720
Phone (352) 344-3777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170228001456 FL Part B Supplier - Clinic/Group Practice 1951685403 Receives reassigned benefits from 3 practitioners
Practice locations: Inverness, 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
10D2121972Inverness Family Care High Risk PLLC2401 Forest Dr, Inverness, FL 34453Certificate of waiverNov 16, 2026

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AJICAD

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477958400000",
    "number": "1679022602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 FOREST DR",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344533720",
            "telephone_number": "352-344-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 FOREST DR",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344533720",
            "telephone_number": "352-344-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INVERNESS FAMILY CARE HIGH RISK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-03",
        "last_updated": "2016-11-01",
        "status": "A",
        "authorized_official_last_name": "CONNOR",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "352-344-3777"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS 8408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inverness, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.