Organization Active NPI

Atlantic Cove Medical Group, LLC

  • Clinic/Center
  • Sarasota, FL
National Provider Identifier
1851172019
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ATLANTIC COVE MEDICAL GROUP, LLC
Practice address
1949 Northgate Blvd
Sarasota, FL 34234-2143
Phone
(941) 208-3070
Fax
(941) 208-3067
NPI assigned
Oct 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Authorized official

Name
Collins Ezeuka, M.D.NPI 1730522590
Title
Ceo
Phone
(818) 554-0112

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X
Clinic/Center 261Q00000X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

1949 Northgate Blvd
Sarasota, FL 34234-2143

Mailing address

5342 Clark Rd # 3072
Sarasota, FL 34233-3227

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231106000533 FL Part B Supplier - Clinic/Group Practice 8022465525 Receives reassigned benefits from 1 practitioner
Practice locations: Lakewood Ranch, FL

National Provider Directory

National Provider Directory

Locations

3707 26th St W
Bradenton, FL 34205

11161 State Road 70 E
Unit 110828
Lakewood Ranch, FL 34202

3075 Bobcat Village Center Rd
North Port, FL 34288

6547 Midnight Pass Rd
Siesta Key, FL 34242

Practitioners & affiliated clinicians

Practitioners 2

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": "1697068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770768000000",
    "number": "1851172019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5342 CLARK RD # 3072",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342333227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 NORTHGATE BLVD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342342143",
            "telephone_number": "941-208-3070",
            "fax_number": "941-208-3067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC COVE MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-12",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A",
        "authorized_official_last_name": "EZEUKA",
        "authorized_official_first_name": "COLLINS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-554-0112",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; 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.