Organization Active NPI

Samantha S. Lindsay M.D. P.a.

Doing business as Family First Wellness

  • Family Medicine Physician
  • Lutz, FL
National Provider Identifier
1982080933
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME106322 Issued in FL
Legal business name
SAMANTHA S. LINDSAY M.D. P.A.
Doing business as
Family First Wellness
Practice address
16541 Pointe Village Dr
Lutz, FL 33558-5258
Phone
(813) 920-8300
Fax
(813) 920-8334
NPI assigned
Jul 31, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2015

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

Authorized official

Name
Dr. Samantha S Lindsay, M.D.NPI 1578759858
Title
Owner/Doctor
Phone
(727) 518-4548

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME106322 FL Primary

Addresses

Primary practice location

16541 Pointe Village Dr
Lutz, FL 33558-5258

Mailing address

1029 Sweet Jasmine Dr
Trinity, FL 34655-7136
Phone (727) 518-0647

Other identifiers 1

IdentifierTypeStateIssuer
002813600MedicaidFL

Other names 1

  • Family First Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151230000711 FL Part B Supplier - Clinic/Group Practice 1052613577 Receives reassigned benefits from 1 practitioner
Practice locations: Lutz, 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
10D2101158Family First Wellness16541 Pointe Village Dr Ste 211, Lutz, FL 33558Certificate of waiverAug 27, 2027

National Provider Directory

National Provider Directory

Locations

16541 Pointe Village Dr
Lutz, FL 33558
Phone (813) 578-5889

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438300800000",
    "number": "1982080933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 SWEET JASMINE DR",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346557136",
            "telephone_number": "727-518-0647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16541 POINTE VILLAGE DR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335585258",
            "telephone_number": "813-920-8300",
            "fax_number": "813-920-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMANTHA S. LINDSAY M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-31",
        "last_updated": "2015-07-31",
        "status": "A",
        "authorized_official_last_name": "LINDSAY",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "727-518-4548",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME106322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002813600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family First Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; 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.