Organization Active NPI

Ocala Family Practice LLC

  • Internal Medicine Physician
  • Ocala, FL
National Provider Identifier
1760866164
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME83240 Issued in FL
Legal business name
OCALA FAMILY PRACTICE LLC
Practice address
1328 SE 25TH Loop Ste 102
Ocala, FL 34471-1023
Phone
(352) 732-2558
Fax
(352) 732-8983
NPI assigned
Jul 15, 2015
Last updated
Jul 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Authorized official

Name
Mrs. Maria Atkinson, M.DNPI 1538182787
Title
President
Phone
(352) 732-2558

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
Internal Medicine Physician 207R00000X ME83240 FL Primary

Addresses

Primary practice location

1328 SE 25TH Loop Ste 102
Ocala, FL 34471-1023

Mailing address

1328 SE 25TH Loop Ste 102
Ocala, FL 34471-1023
Phone (352) 732-2558

Other identifiers 1

IdentifierTypeStateIssuer
262902001MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160413001303 FL Part B Supplier - Clinic/Group Practice 6204134901 Receives reassigned benefits from 1 practitioner
Practice locations: Ocala, FL

National Provider Directory

National Provider Directory

Locations

1328 SE 25th Loop
Ste 102
Ocala, FL 34471
Phone (352) 732-2558

Practitioners & affiliated clinicians

Practitioners 4

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": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1760866164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 SE 25TH LOOP STE 102",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344711023",
            "telephone_number": "352-732-2558",
            "fax_number": "352-732-8983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 SE 25TH LOOP STE 102",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344711023",
            "telephone_number": "352-732-2558",
            "fax_number": "352-732-8983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCALA FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "ATKINSON",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-732-2558",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME83240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262902001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.