Organization Active NPI

Gulf Coast Concierge, LLC

Doing business as Lorna Fedelem, MD and Associates

  • Medical Specialty Clinic/Center
  • Naples, FL
National Provider Identifier
1720834575
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
GULF COAST CONCIERGE, LLC
Doing business as
Lorna Fedelem, MD and Associates
Practice address
9150 Galleria CT Ste 200
Naples, FL 34109-4379
Phone
(239) 580-6390
Fax
(833) 941-4948
NPI assigned
Apr 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Authorized official

Name
Dr. Lorna Jane Fedelem, MDNPI 1790987980
Title
Owner
Phone
(239) 580-6390

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

9150 Galleria CT Ste 200
Naples, FL 34109-4379

Mailing address

9150 Galleria CT Ste 200
Naples, FL 34109-4379
Phone (239) 580-6390

Other names 1

  • Lorna Fedelem, MD and Associates Doing business as

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
10D2226011Gulf Coast Concierge LLC Dba9150 Galleria CT Ste 200, Naples, FL 34109Certificate of waiverMay 25, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1720834575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 GALLERIA CT STE 200",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341094379",
            "telephone_number": "239-580-6390",
            "fax_number": "833-941-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 GALLERIA CT STE 200",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341094379",
            "telephone_number": "239-580-6390",
            "fax_number": "833-941-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST CONCIERGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "FEDELEM",
        "authorized_official_first_name": "LORNA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-580-6390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lorna Fedelem, MD and Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.