Active NPI
North Florida Primary Care PLLC
- Internal Medicine Physician
- Lake City, FL
On this page
- Key facts
- Authorized official
- Practitioners2
- Laboratory certificates & supplier records
- Medicare participation
- Medicare enrollment records1
- National Provider Directory
- Specialties & licenses1
- Addresses
- Other identifiers1
- Electronic endpoints1
- NPI Registry JSON
- Other providers in Lake City, FL
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- NORTH FLORIDA PRIMARY CARE PLLC
- Practice address
- 4243 SW Cambridge GLN
Lake City, FL 32024-3431 - Phone
- (386) 292-7744
- Fax
- (386) 719-7096
- NPI assigned
- Aug 13, 2020
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Michael C Ukaegbu Sr., MD
- Title
- Owner
- Phone
- (386) 697-4973
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Lake City, FL
- NPI 1427254283
FL, Internal Medicine
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2200577 | North Florida Primary Care, PLLC | Certificate of waiver | Nov 15, 2026 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201209001242 | FL | Part B Supplier - Clinic/Group Practice | 3678985017 |
Receives reassigned benefits from 2 practitioners Practice locations: Lake City, FL |
National Provider Directory
National Provider DirectoryLocations
4243 SW Cambridge Gln
Lake City, FL 32024
Phone (386) 292-7744
221 SW Stonegate Ter
Ste 101
Lake City, FL 32024
Phone (386) 292-7744
Interoperability endpoints
- https://api.platform.athenahealth.com/22132/brand/1/csg/1/fhir/r4
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4243 SW Cambridge GLN
Lake City, FL 32024-3431
Mailing address
4243 SW Cambridge GLN
Lake City, FL 32024-3431
Phone (386) 292-7744
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010767000 | Medicaid | FL |
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Athenahealth.com/solutions/patient-engagement | Health Information Exchange (HIE) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 6, 2025.
{
"created_epoch": "1597276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759708800000",
"number": "1760093702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4243 SW CAMBRIDGE GLN",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320243431",
"telephone_number": "386-292-7744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4243 SW CAMBRIDGE GLN",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320243431",
"telephone_number": "386-292-7744",
"fax_number": "386-719-7096"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH FLORIDA PRIMARY CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-13",
"last_updated": "2025-10-06",
"certification_date": "2025-10-06",
"status": "A",
"authorized_official_last_name": "UKAEGBU",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "386-697-4973",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Sr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010767000",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Athenahealth.com/solutions/patient-engagement",
"affiliation": "N",
"endpointDescription": "Portal",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Pdf",
"address_1": "221 SW Stonegate Ter Ste 101",
"city": "Lake City",
"state": "FL",
"country_code": "US",
"postal_code": "320243463",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lake City, FL
- North Florida Pediatrics, PA
- North Florida Pediatrics, PA.
- North Florida Pharmacy, Inc.
- North Florida Pharmacy, Inc.
- North Florida Pharmacy, Inc.
- North Florida Radiation Oncology
- North Florida Rehabilitation, Inc.
- North Florida Surgery Center Inc
- North Florida Surgery Center Inc
- North Florida/South Georgia Veteran'S Health Administration
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.