Organization Active NPI

Community Roots Health LLC

  • Family Medicine Physician
  • Palatka, FL
National Provider Identifier
1821958406
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COMMUNITY ROOTS HEALTH LLC
Practice address
700 Zeagler Dr Ste 6
Palatka, FL 32177-3826
Phone
(386) 267-7318
Fax
(386) 267-7318
NPI assigned
Nov 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2026

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

Authorized official

Name
Mrs. Katya Maria Tsangarakis, APRNNPI 1306568159
Title
Owner
Phone
(954) 940-0453

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X

Addresses

Primary practice location

700 Zeagler Dr Ste 6
Palatka, FL 32177-3826

Mailing address

700 Zeagler Dr Ste 6
Palatka, FL 32177-3826
Phone (386) 267-7376

Other names 2

  • COMMUNITY ROOTS HEALTH Doing business as
  • COMMUNITY ROOTS HEALTH LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260102000565 FL Part B Supplier - Clinic/Group Practice 6901392620 Receives reassigned benefits from 3 practitioners
Practice locations: Palatka, FL

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
10D2342751Community Roots Health LLC700 Zeagler Dr Suite 6, Palatka, FL 32177Certificate of waiverApr 26, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1763078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783036800000",
    "number": "1821958406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ZEAGLER DR STE 6",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773826",
            "telephone_number": "386-267-7376",
            "fax_number": "386-267-7318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 ZEAGLER DR STE 6",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773826",
            "telephone_number": "386-267-7318",
            "fax_number": "386-267-7318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ROOTS HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-14",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A",
        "authorized_official_last_name": "TSANGARAKIS",
        "authorized_official_first_name": "KATYA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-940-0453",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMUNITY ROOTS HEALTH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "COMMUNITY ROOTS HEALTH LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palatka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2026; 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.

Verify at the official NPI Registry.