Organization Active NPI

Ocala Family Medical Center, Inc.

  • Family Medicine Physician
  • Ocala, FL
National Provider Identifier
1871589192
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OCALA FAMILY MEDICAL CENTER, INC.
Practice address
2230 SW 19TH Avenue Rd
Ocala, FL 34471-1391
Phone
(352) 237-4133
Fax
(352) 237-7728
NPI assigned
Sep 22, 2005
Last updated
Jan 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Authorized official

Name
Larry W Mayfield
Title
Ceo
Phone
(352) 237-4133

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X NU
Family Medicine Physician 207Q00000X NU Primary
Internal Medicine Physician 207R00000X NU
Cardiovascular Disease Physician 207RC0000X NU
Endocrinology, Diabetes & Metabolism Physician 207RE0101X NU
Gynecology Physician 207VG0400X NU
Physical Medicine & Rehabilitation Physician 208100000X NU
Neurology Physician 2084N0400X NU
Diagnostic Radiology Physician 2085R0202X NU
Vascular & Interventional Radiology Physician 2085R0204X NU
Foot & Ankle Surgery Podiatrist 213ES0103X NU
Physical Therapy Clinic/Center 261QP2000X NU
Radiology Clinic/Center 261QR0200X NU
Clinical Medical Laboratory 291U00000X NU
Women's Health Nurse Practitioner 363LW0102X NU

Addresses

Primary practice location

2230 SW 19TH Avenue Rd
Ocala, FL 34471-1391

Mailing address

2230 SW 19TH Avenue Rd
Ocala, FL 34471-1391
Phone (352) 237-4133

Other practice location 1

2121 SW 22nd Pl
Ocala, FL 34471-7766
Phone (352) 237-4133

Other practice location 2

2131 SW 20th Pl
Ocala, FL 34471-7734
Phone (352) 237-4133

Other practice location 3

2135 SW 19th Avenue Rd Ste 103
Ocala, FL 34471-7877
Phone (352) 237-4133

Other practice location 4

2516 SW College Rd
Ocala, FL 34471-1612
Phone (352) 368-1330

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040510000265 FL Part B Supplier - Clinic/Group Practice 6608865290 Receives reassigned benefits from 77 practitioners
Practice locations: Ocala, 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
10D2032203Ocala Family Medical Center Inc2131 SW 20TH PL, Ocala, FL 34471Certificate of waiverNov 6, 2027
10D2087050Ocala Family Medical Center Inc2121 SW 22ND Place, Ocala, FL 34471AccreditationMar 24, 2027
10D2148883Ocala Family Medical Center Inc2135 SW 19TH Avenue Rd Ste 103, Ocala, FL 34471Provider-performed microscopyJun 13, 2028
10D2280028Ocala Family Medical Center, Inc2516 SW College Rd, Ocala, FL 34471Certificate of waiverApr 11, 2027

National Provider Directory

National Provider Directory

Locations

2121 SW 22nd Pl
Ocala, FL 34471
Phone (352) 237-4133

2131 SW 20th Pl
Ocala, FL 34471
Phone (352) 237-4133

2135 SW 19th Avenue Rd
Ocala, FL 34471

2516 SW College Rd
Ocala, FL 34471
Phone (352) 237-4133

Practitioners & affiliated clinicians

Practitioners 80

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.

View all 80

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1871589192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 SW 19TH AVENUE RD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344711391",
            "telephone_number": "352-237-4133",
            "fax_number": "352-237-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 SW 19TH AVENUE RD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344711391",
            "telephone_number": "352-237-4133",
            "fax_number": "352-237-7728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2121 SW 22nd Pl",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344717766",
            "country_code": "US",
            "telephone_number": "352-237-4133",
            "fax_number": "352-237-7728",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2131 SW 20th Pl",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344717734",
            "country_code": "US",
            "telephone_number": "352-237-4133",
            "fax_number": "352-237-7728",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2135 SW 19th Avenue Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344717877",
            "country_code": "US",
            "telephone_number": "352-237-4133",
            "fax_number": "352-237-7728",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2516 SW College Rd",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344711612",
            "country_code": "US",
            "telephone_number": "352-368-1330",
            "fax_number": "352-237-7728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OCALA FAMILY MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "MAYFIELD",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-237-4133"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jan 4, 2024; 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.