Organization Active NPI

Community Hospital Family Practice LLC

Doing business as Northpointe Physicians Group

  • Geriatric Medicine (Family Medicine) Physician
  • Brooksville, FL
National Provider Identifier
1902094857
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
COMMUNITY HOSPITAL FAMILY PRACTICE LLC
Doing business as
Northpointe Physicians Group
Practice address
44 Veterans Ave
Brooksville, FL 34601-3215
Phone
(352) 797-3500
Fax
(352) 797-3526
NPI assigned
Oct 4, 2007
Last updated
Oct 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Authorized official

Name
William Tederick Johnson
Title
Vice President/Ao
Phone
(615) 372-3375

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X NU Primary
Surgery Physician 208600000X FL

Addresses

Primary practice location

44 Veterans Ave
Brooksville, FL 34601-3215

Mailing address

2000 Health Park Dr
Brentwood, TN 37027-4525
Phone (615) 373-7600

Other identifiers 3

IdentifierTypeStateIssuer
DO9676OtherFLMEDICARE RAILROAD GROUP
000801600MedicaidFL
00264OtherFLBCBS FL

Other names 1

  • Northpointe Physicians Group Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090106000661 FL Part B Supplier - Clinic/Group Practice 2264595941 Receives reassigned benefits from 66 practitioners
Practice locations: Saint Petersburg, FL; Largo, FL; New Port Richey, FL; Palm Harbor, FL; South Pasadena, FL; Spring Hill, FL; Trinity, FL; Homosassa, 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
10D0963935Community Hospital Family Practice, LLC44 Veterans Avenue, Brooksville, FL 34601Certificate of waiverAug 16, 2027

National Provider Directory

National Provider Directory

Locations

11371 Cortez Blvd
Ste 223
Brooksville, FL 34613
Phone (352) 596-8911

11371 Cortez Blvd
Ste 239
Brooksville, FL 34613
Phone (352) 592-0220

11373 Cortez Blvd
Ste 239
Brooksville, FL 34613
Phone (352) 382-5000

11373 Cortez Blvd
Ste 308
Brooksville, FL 34613
Phone (352) 592-7315

8367 S Suncoast Blvd
Homosassa, FL 34446
Phone (352) 597-0224

13910 Lakeshore Blvd
Ste 120
Hudson, FL 34667
Phone (352) 597-0224

14100 Fivay Rd
Ste 265
Hudson, FL 34667
Phone (813) 453-0590

14100 Fivay Rd
Ste 340
Hudson, FL 34667
Phone (727) 819-9107

7515 State Road 52
Ste 102
Hudson, FL 34667
Phone (727) 842-3322

131 S Citrus Ave
Ste 301
Inverness, FL 34452
Phone (352) 341-1735

1301 2nd Ave SW
Ste 314
Largo, FL 33770
Phone (727) 587-7120

1301 2nd Ave SW
Ste 315
Largo, FL 33770
Phone (727) 587-7120

1551 West Bay Dr
Ste 200
Largo, FL 33770
Phone (727) 587-7120

1615 Pasadena Ave S
Ste 330
South Pasadena, FL 33707
Phone (727) 345-2929

221 Mariner Blvd
Spring Hill, FL 34609
Phone (352) 666-0544

4065 Mariner Blvd
Spring Hill, FL 34609
Phone (352) 683-1885

7347 Forest Oaks Blvd
Spring Hill, FL 34606
Phone (352) 263-2903

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 86

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 86

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1902094857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274525",
            "telephone_number": "615-373-7600",
            "fax_number": "866-346-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 VETERANS AVE",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346013215",
            "telephone_number": "352-797-3500",
            "fax_number": "352-797-3526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOSPITAL FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "TEDERICK",
        "authorized_official_title_or_position": "VICE PRESIDENT/AO",
        "authorized_official_telephone_number": "615-372-3375"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD GROUP",
            "identifier": "DO9676",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000801600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "00264",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northpointe Physicians Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northpointe Physicians Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.