Individual provider Active NPI

Cara R Nelson-James, DO

  • Family Medicine Physician
  • Dundee, FL
National Provider Identifier
1942212592
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0S9457 Issued in FL
Practice address
916 Dundee Rd
Dundee, FL 33838-4198
Phone
(866) 234-8534
NPI assigned
Aug 12, 2006
Last updated
Aug 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0S9457 FL Primary

Addresses

Primary practice location

916 Dundee Rd
Dundee, FL 33838-4198

Mailing address

47 5TH St NW
Winter Haven, FL 33881-4672
Phone (866) 234-8534

Other identifiers 2

IdentifierTypeStateIssuer
55032OtherFLBCBS OF FLORIDA
275898900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061010000580 FL Practitioner - Family Practice 3870599194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Florida Health Care IncGroup PAC ID 0143127951, 33 clinicians

Practice addresses (Care Compare)

916 Hwy 542
Dundee, FL 33838-9999
Phone (866) 234-8534

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0S9457FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Health Care, Inc. Current Accepting new patients
Central Florida Health Care, Inc CurrentSince Jul 17, 2006 Accepting new patients
Central Florida Health Care, Inc Family Medicine CurrentSince Jul 17, 2006 Accepting new patients
Central Florida Health Care, Inc. Past Accepting new patients
Central Florida Health Care, Inc. Past Accepting new patients
Central Florida Health Care, Inc. Past Accepting new patients
Central Florida Health Care, Inc Past Accepting new patients
Central Florida Health Care Inc Past Accepting new patients
Central Florida Health Care Inc PastSince Jul 17, 2006 Accepting new patients
Central Florida Health Care, Inc. Past Accepting new patients
Central Florida Health Care, Inc. Past Accepting new patients
Central Florida Health Care Inc Past Accepting new patients

Locations

950 County Road 17A W
Avon Park, FL 33825
Phone (863) 452-3000

1190 E Church St
Bartow, FL 33830
Phone (863) 533-1601

1350 E Main St
Ste A-5
Bartow, FL 33830
Phone (863) 534-1434

130 Ridge Center Dr
Davenport, FL 33837
Phone (866) 234-8535

916 Dundee Rd
Dundee, FL 33838
Phone (863) 419-3330

109 W Wall St
Frostproof, FL 33843
Phone (863) 635-4891

705 Ingraham Ave
Haines City, FL 33844
Phone (863) 438-6900

305 W Central Ave
Lake Wales, FL 33853
Phone (863) 678-4144

305 W Central Ave
Fl Heal
Lake Wales, FL 33853

1129 N Missouri Ave
Lakeland, FL 33805
Phone (863) 413-8600

1417 Lakeland Hills Blvd
Ste 101
Lakeland, FL 33805
Phone (863) 229-7970

601 S Florida Ave
Ste 6
Lakeland, FL 33801
Phone (863) 688-0841

903 Lowry Ave
Lakeland, FL 33801

106 NW 9th Ave
Mulberry, FL 33860
Phone (863) 425-6200

807 Cobb Ct
Wauchula, FL 33873

1514 1st St N
Winter Haven, FL 33881
Phone (863) 291-5110

201 Magnolia Ave SW
Winter Haven, FL 33880
Phone (863) 229-7950

244 Avenue D SW
Winter Haven, FL 33880
Phone (662) 348-5348

47 5th St NW
Winter Haven, FL 33881

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: cara.nelson-james.1@12125.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 15

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Central Florida Health Care, Inc.-Avon ParkAvon Park, FL, CCN 101847 Federally qualified health center Corporate Officer Dec 1, 2019
Central Florida Health Care, Inc.-FrostproofFrostproof, FL, CCN 101851 Federally qualified health center Corporate Officer Dec 1, 2019
Central Florida Health Care, Inc.-DundeeDundee, FL, CCN 101935 Federally qualified health center Corporate Officer Dec 1, 2019
Central Florida Health Care IncWinter Haven, FL, CCN 101117 Federally qualified health center Corporate Officer Dec 2, 2019
Central Florida Health Care Wauchula Primary CareWauchula, FL, CCN 101143 Federally qualified health center Corporate Officer Dec 1, 2019
Central Florida Health Care IncWinter Haven, FL, CCN 681068 Federally qualified health center Corporate Officer Dec 1, 2019
Central Florida Health Care IncDundee, FL, CCN 681065 Federally qualified health center Corporate Officer Dec 1, 2019
Central Florida Health Care IncLake Wales, FL, CCN 681066 Federally qualified health center Corporate Officer Dec 1, 2019
Central Florida Health Care IncHaines City, FL, CCN 681092 Federally qualified health center Corporate Officer
Operational/Managerial Control
Dec 1, 2019
Dec 1, 2019
Central Florida Health Care IncLakeland, FL, CCN 681167 Federally qualified health center Corporate Officer
Operational/Managerial Control
Dec 1, 2019
Dec 1, 2019
Central Florida Health Care IncLakeland, FL, CCN 681178 Federally qualified health center Contracted Managing Employee
Corporate Officer
Dec 1, 2019
Dec 1, 2019
Central Florida Health Care IncDavenport, FL, CCN 691010 Federally qualified health center Corporate Officer Dec 1, 2019
Central Florida Health Care IncBartow, FL, CCN C11021 Federally qualified health center Corporate Director May 2, 2024
Central Florida Health Care IncBartow, FL, CCN C11060 Federally qualified health center Corporate Officer Dec 1, 2019
Central Florida Health Care IncMulberry, FL, CCN C11078 Federally qualified health center Corporate Officer Dec 1, 2019

Owned or controlled facilities with NPI records 16

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 16

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1942212592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 5TH ST NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814672",
            "telephone_number": "866-234-8534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 DUNDEE RD",
            "city": "DUNDEE",
            "state": "FL",
            "postal_code": "338384198",
            "telephone_number": "866-234-8534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON-JAMES",
        "first_name": "CARA",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "0S9457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "55032",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275898900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dundee, FL

Sources for this page

Verify at the official NPI Registry.