Central Health Associates

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME75774 Issued in FL

Legal business name

CENTRAL HEALTH ASSOCIATES

Doing business as

Central Primary Care

Practice address

4925 Old Rd 37
Lakeland, FL 33813

Phone

(863) 648-5300

Fax

(863) 648-5377

NPI assigned

Apr 13, 2015

Last updated

Apr 13, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Fawzi George Mehanna, M.D.NPI 1184686461

Title

MD

Phone

(863) 648-5300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Central Primary Care Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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.

• Fawzi George Mehanna, MD

  • Internal Medicine Physician
  • Lakeland, FL
  • NPI 1184686461
  NPD (past) Authorized official

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1902292352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 6896",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33807",
            "telephone_number": "863-648-5300",
            "fax_number": "863-648-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4925 OLD RD 37",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33813",
            "telephone_number": "863-648-5300",
            "fax_number": "863-648-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL HEALTH ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "MEHANNA",
        "authorized_official_first_name": "FAWZI",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "863-648-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME75774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256420300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Central Florida Orthopaedic Surgery Associates PL
• Central Florida Psychotherapy Services LLC (Psychotherapy Services of Newlight)
• Central Florida Rehab Specialists, Inc (cypress therapy)
• Central Florida Speech & Hearing Center
• Central Florida Speech & Hearing Center
• Taylor A Cepero
• Ashley Patricia Cernell, APRN-PC
• Sairah Y Chachad, MD
• Jonathan Lyons Chadwick, MD
• Simon Chamakalayil, M.D.

• Internal Medicine Physician in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.