Organization Active NPI

Tri-County Infectious Disease

Doing business as Tri-County Infectious Disease Consultants, LLC

  • Infectious Disease Physician
  • The Villages, FL
National Provider Identifier
1679704878
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
TRI-COUNTY INFECTIOUS DISEASE
Doing business as
Tri-County Infectious Disease Consultants, LLC
Practice address
910 Old Camp Rd
Suite 130
The Villages, FL 32162-5609
Phone
(352) 633-0215
Fax
(352) 633-0219
NPI assigned
Aug 5, 2009
Last updated
Aug 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

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

Authorized official

Name
Dr. Sheila Gillikin, MDNPI 1083786966
Title
Operations Manager
Phone
(352) 633-0215

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X Primary

Addresses

Primary practice location

910 Old Camp Rd
Suite 130
The Villages, FL 32162-5609

Mailing address

1576 Bella Cruz Drive
Suite 336
The Villages, FL 32159-8969
Phone (352) 633-0215

Other identifiers 1

IdentifierTypeStateIssuer
001364700MedicaidFL

Other names 1

  • Tri-County Infectious Disease Consultants, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

1038 W North Blvd
Ste 101
Leesburg, FL 34748
Phone (352) 326-5254

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": "1249430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377043200000",
    "number": "1679704878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1576 BELLA CRUZ DRIVE",
            "address_2": "SUITE 336",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321598969",
            "telephone_number": "352-633-0215",
            "fax_number": "352-633-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 OLD CAMP RD",
            "address_2": "SUITE 130",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625609",
            "telephone_number": "352-633-0215",
            "fax_number": "352-633-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY INFECTIOUS DISEASE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-05",
        "last_updated": "2013-08-21",
        "status": "A",
        "authorized_official_last_name": "GILLIKIN",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "352-633-0215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001364700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-County Infectious Disease Consultants, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in The Villages, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.