Organization Active NPI

Toast and Toller Concierge Medicine, LLC

Doing business as Dedea, MD Family Medicine

  • Family Medicine Physician
  • Spring Hill, FL
National Provider Identifier
1881345106
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TOAST AND TOLLER CONCIERGE MEDICINE, LLC
Doing business as
Dedea, MD Family Medicine
Practice address
4052 Commercial Way
Spring Hill, FL 34606-2398
Phone
(352) 610-4812
Fax
(352) 556-4980
NPI assigned
Jan 18, 2022
Last updated
Jun 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Lacey F Whitworth
Title
Practice Manager
Phone
(352) 610-4812

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

4052 Commercial Way
Spring Hill, FL 34606-2398

Mailing address

PO Box 5100
Spring Hill, FL 34611-5100
Phone (352) 610-4812

Other names 1

  • Dedea, MD Family Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220513000944 FL Part B Supplier - Clinic/Group Practice 0547647588 Receives reassigned benefits from 3 practitioners
Practice locations: Spring Hill, 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
10D2262528Toast & Toller Concierge Medicine, LLC4052 Commercial Way, Spring Hill, FL 34606Certificate of waiverJun 14, 2028

National Provider Directory

National Provider Directory

Locations

4052 Commercial Way
Spring Hill, FL 34606
Phone (352) 610-4812

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1881345106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5100",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346115100",
            "telephone_number": "352-610-4812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4052 COMMERCIAL WAY",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346062398",
            "telephone_number": "352-610-4812",
            "fax_number": "352-556-4980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOAST AND TOLLER CONCIERGE MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-18",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "WHITWORTH",
        "authorized_official_first_name": "LACEY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "352-610-4812"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dedea, MD Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.