Organization Active NPI

Hughes Direct Primary Care LLC

  • Clinic/Center
  • Estero, FL
National Provider Identifier
1679138689
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
HUGHES DIRECT PRIMARY CARE LLC
Practice address
9351 Corkscrew Rd Ste 101
Estero, FL 33928-6801
Phone
(239) 278-1155
Fax
(239) 278-1159
NPI assigned
May 6, 2019
Last updated
Jun 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Authorized official

Name
Joy Tomlinson
Title
Billing
Phone
(239) 278-1155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

9351 Corkscrew Rd Ste 101
Estero, FL 33928-6801

Mailing address

9351 Corkscrew Rd Ste 101
Estero, FL 33928-6801
Phone (239) 278-1155

Other identifiers 2

IdentifierTypeStateIssuer
1740262542OtherFLNPI
OS9442OtherFLLICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191205001326 FL Part B Supplier - Clinic/Group Practice 0749613750 Receives reassigned benefits from 1 practitioner
Practice locations: Estero, FL

National Provider Directory

National Provider Directory

Locations

9351 Corkscrew Rd
#101
Estero, FL 33928
Phone (239) 336-4182

Practitioners & affiliated clinicians

Practitioners 1

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": "1557100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1679138689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9351 CORKSCREW RD STE 101",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339286801",
            "telephone_number": "239-278-1155",
            "fax_number": "239-278-1159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9351 CORKSCREW RD STE 101",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339286801",
            "telephone_number": "239-278-1155",
            "fax_number": "239-278-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUGHES DIRECT PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-06",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "TOMLINSON",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "239-278-1155"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1740262542",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "OS9442",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Estero, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.