Organization Active NPI

Cim Medical Group Inc

  • Sports Medicine (Internal Medicine) Physician
  • The Villages, FL
National Provider Identifier
1861370165
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X
Legal business name
CIM MEDICAL GROUP INC
Practice address
910 Old Camp Rd Ste 162
The Villages, FL 32162-5609
Phone
(352) 430-2720
NPI assigned
Aug 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Authorized official

Name
Christopher CheshireNPI 1962468322
Title
Owner
Phone
(352) 430-2720

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
Sports Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0010X Primary

Addresses

Primary practice location

910 Old Camp Rd Ste 162
The Villages, FL 32162-5609

Mailing address

609 W Bidwell St
Fruitland Park, FL 34731-4314
Phone (352) 446-6174

National Provider Directory

National Provider Directory

Locations

910 Old Camp Rd
Ste 162
The Villages, FL 32162
Phone (352) 430-2720

Practitioners & affiliated clinicians

Practitioners 1

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": "1756080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1861370165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 W BIDWELL ST",
            "city": "FRUITLAND PARK",
            "state": "FL",
            "postal_code": "347314314",
            "telephone_number": "352-446-6174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 OLD CAMP RD STE 162",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625609",
            "telephone_number": "352-430-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIM MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "CHESHIRE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-430-2720"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.