Active NPI
Access Medical South, LC
- Durable Medical Equipment & Medical Supplies
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- ACCESS MEDICAL SOUTH, LC
- Practice address
- 9369 Laredo Ave Ste 170
Fort Myers, FL 33905-4632 - Phone
- (239) 343-8290
- Fax
- (239) 343-8291
- NPI assigned
- Aug 16, 2006
- Last updated
- Sep 19, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Benjamin Spence
- Title
- Chief Financial Officer
- Phone
- (239) 343-6014
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
9369 Laredo Ave Ste 170
Fort Myers, FL 33905-4632
Mailing address
12681 Creekside LN Ste 201
Fort Myers, FL 33919-3359
Phone (239) 343-8290
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021547300 | Medicaid | FL | |
| ATN675402 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930020308 | FL | DME Supplier - Medical Supply Company With Respiratory Therapist | 9830210418 | Practice locations: Fort Myers, FL |
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.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| LH Medical Equipment Solutions | Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|External Infusion Pumps and/or Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|(TENS) Transcutaneous Electrical Nerve Stimulator… | Does not accept assignment |
National Provider Directory
National Provider DirectoryMember of 3
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Lee Health Solutions
- General Practice Physician
- Cape Coral, FL
- NPI 1346085636
Member Of
-
dba Lee Memorial Home Health
- Home Health Agency
- Fort Myers, FL
- NPI 1689672065
Member Of
-
dba Morton Plant Rehabilitation Center
- Skilled Nursing Facility
- Belleair, FL
- NPI 1093791303
Member Of
Locations
12681 Creekside Ln
Ste 201
Fort Myers, FL 33919
5701 Country Lakes Dr
#1820
Fort Myers, FL 33905
Phone (239) 693-0035
5701 Country Lakes Dr
Ste 20
Fort Myers, FL 33905
Phone (239) 693-0035
5701 Country Lakes Dr
Ste 89
Fort Myers, FL 33905
Phone (239) 693-0035
5719 Corporation Cir
Ste 2
Fort Myers, FL 33905
Phone (239) 693-0035
9369 Laredo Ave
Ste 170
Fort Myers, FL 33905
Phone (239) 343-8290
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663545600000",
"number": "1790898666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12681 CREEKSIDE LN STE 201",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339193359",
"telephone_number": "239-343-8290",
"fax_number": "239-343-8291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9369 LAREDO AVE STE 170",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339054632",
"telephone_number": "239-343-8290",
"fax_number": "239-343-8291"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACCESS MEDICAL SOUTH, LC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-16",
"last_updated": "2022-09-19",
"certification_date": "2022-09-19",
"status": "A",
"authorized_official_last_name": "SPENCE",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "239-343-6014",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "021547300",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ATN675402",
"state": "FL"
}
],
"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 Sep 19, 2022; 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.