Organization Active NPI

NGM Wellness Inc.

  • Clinic/Center
  • Fort Myers, FL
National Provider Identifier
1730040965
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NGM WELLNESS INC.
Practice address
1500 Colonial Blvd Ste 102
Fort Myers, FL 33907-1025
Phone
(239) 292-0252
NPI assigned
Nov 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Authorized official

Name
Norge Garcia
Title
Manager
Phone
(239) 292-0252

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Adult Mental Health Clinic/Center 261QM0850X
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

1500 Colonial Blvd Ste 102
Fort Myers, FL 33907-1025

Mailing address

1500 Colonial Blvd Ste 102
Fort Myers, FL 33907-1025
Phone (239) 292-0252

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1763424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1730040965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 COLONIAL BLVD STE 102",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071025",
            "telephone_number": "239-292-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 COLONIAL BLVD STE 102",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071025",
            "telephone_number": "239-292-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NGM WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-18",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "NORGE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "239-292-0252"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.