Advanced Pain Medicine of North Florida LLC

Key facts

NPI: 1962816231
Entity type: Organization (NPI type 2)
Primary specialty: Pain Medicine (Anesthesiology) Physician 207LP2900X
License: ME89103 (FL)
Legal business name: ADVANCED PAIN MEDICINE OF NORTH FLORIDA LLC
Practice address: 194 NW 137TH Drive
Suite 100
Newberry, FL 32669
Phone: (352) 508-8668
Fax: (352) 433-4558
NPI assigned: Jun 16, 2014
Organization subpart: No

Authorized official

Name: Dr. Brent T Stewart, M.D., M.B.A. NPI 1548374085
Title: President / Owner
Phone: (352) 508-8668

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Advanced Pain Medicine of North Florida LLC Pain Medicine (Anesthesiology) Physician · Lake City, FL · NPI 1598615676

Same PAC ID 2668690736

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Brent T Stewart, M.D., M.B.A. Pain Medicine (Anesthesiology) Physician · Newberry, FL · NPI 1548374085

Medicare reassignment Care Compare group Authorized official FL
Heather B Torres, PA-C Physician Assistant · Gainesville, FL · NPI 1881949220

Medicare reassignment Care Compare group FL
Ashley Albright Physician Assistant · Jonesville, FL · NPI 1588139042

Medicare reassignment FL
Lindsay Anne Courson Physician Assistant · Gainesville, FL · NPI 1366741613

Medicare reassignment FL

Medicare participation

Medicare fee-for-service enrollment: Enrolled (2 enrollments) in FL

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20140903000120	FL	Part B Supplier - Clinic/Group Practice	2668690736	Receives reassigned benefits from 4 practitioners Practice locations: Lake City, FL; Newberry, FL
O20150227001861	FL	DME Supplier - Physician - General Practice	2668690736	Practice locations: Newberry, FL

National Provider Directory

Locations

4498 W US Highway 90
Lake City, FL 32055
Phone (352) 888-7246

194 NW 137th Dr
Newberry, FL 32669
Phone (352) 888-7246

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pain Medicine (Anesthesiology) Physician Group: 193400000X SINGLE SPECIALTY GROUP	207LP2900X	ME89103	FL	Yes

Addresses

Primary practice location

194 NW 137TH Drive
Suite 100
Newberry, FL 32669

Mailing address

194 NW 137TH Drive
Suite 100
Newberry, FL 32669
Phone (352) 508-8668

Other names

Advanced Pain Medical Center Doing business as

Other providers in Newberry, FL

All providers in Newberry, FL · Pain Medicine (Anesthesiology) Physician in Florida

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2015. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.