Charlton Easton Collie Jr., M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME147220 Issued in FL

Practice address

9800 W Sample Rd
Coral Springs, FL 33065-4039

Phone

(954) 755-5504

Fax

(954) 755-7052

NPI assigned

Apr 2, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, FL, IL, IN, LA, KY, TN7 enrollments

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 7

Specialty

Internal Medicine

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Concord Medical Group of Kentucky PLLCGroup PAC ID 9133483894, 78 clinicians

Emergency Medicine Services of FL LLCGroup PAC ID 8426413931, 686 clinicians

Mid West Hospital Physicians PLLCGroup PAC ID 1658612098, 18 clinicians

Schuyler County Hospital DistrictGroup PAC ID 9638076474, 46 clinicians

South Central Physicians PLLCGroup PAC ID 6507195492, 41 clinicians

Concord Medical Group of Texas PLLCGroup PAC ID 7810117223, 319 clinicians

Concord Medical Group PLLCGroup PAC ID 0446296818, 189 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Eastland Memorial Hospital Hospital, Eastland, TX, CCN 450411
• Gibson General Hospital Hospital, Princeton, IN, CCN 151319
• Sarah D Culbertson Memorial Hospital Hospital, Rushville, IL, CCN 141333
• HCA Florida Twin Cities Hospital Hospital, Niceville, FL, CCN 100054
• Woodlawn Hospital Hospital, Rochester, IN, CCN 151313

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ccollie1199661@direct.unitypoint.org

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

• Concord Medical Group of Kentucky PLLC

  • Emergency Medicine Physician
  • Hardinsburg, KY
  • NPI 1346746385

  IN

  Medicare reassignment Care Compare group NPD
• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762
  Medicare reassignment Care Compare group NPD
• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610
  Medicare reassignment Care Compare group NPD
• Mid West Hospital Physicians, PLLC

  • Hospitalist Physician
  • Princeton, IN
  • NPI 1700341872
  Medicare reassignment Care Compare group NPD
• Schuyler County Hospital District

  • Critical Access Hospital
  • Rushville, IL
  • NPI 1013969112
  Medicare reassignment Care Compare group NPD
• South Central Physicians PLLC

  • Hospitalist Physician
  • Lubbock, TX
  • NPI 1427611854

  KY, LA, TN

  Medicare reassignment Care Compare group NPD
• Emergency Medicine Services of FL, LLC

  • Emergency Medicine Physician
  • Aventura, FL
  • NPI 1043917180
  Medicare reassignment Care Compare group
• Deerfield Beach Physician Services, LLC

  • Internal Medicine Physician
  • Tallahassee, FL
  • NPI 1366100364
  Medicare reassignment NPD
• DMH Emergency Physician Group, LLC

  • Emergency Medicine Physician
  • Perry, FL
  • NPI 1922253665
  Medicare reassignment NPD
• Hospital Physician Services of Florida PA

  • Hospitalist Physician
  • Pensacola, FL
  • NPI 1558718635

  Internal Medicine

  Medicare reassignment NPD
• Green Valley Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Paducah, KY
  • NPI 1720755739
  Medicare reassignment NPD
• Hospitalist Medicine Physicians of Texas - Houston, PLLC

  • Emergency Medicine Physician
  • Plainview, TX
  • NPI 1760028740

  Internal Medicine

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Okaloosa Hospital Inc

  • General Acute Care Hospital
  • Niceville, FL
  • NPI 1891732988
  Care Compare affiliation
• Gibson General Hospital Inc.

  • Critical Access Hospital
  • Princeton, IN
  • NPI 1558346007
  Care Compare affiliation
• Schuyler County Hospital District

  • Critical Access Hospital
  • Rushville, IL
  • NPI 1013969112
  Care Compare affiliation
• Woodlawn Hospital

  • Critical Access Hospital
  • Rochester, IN
  • NPI 1265413405
  Care Compare affiliation

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1992123426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 W SAMPLE RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654039",
            "telephone_number": "954-755-5504",
            "fax_number": "954-755-7052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 W SAMPLE RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654039",
            "telephone_number": "954-755-5504",
            "fax_number": "954-755-7052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIE",
        "first_name": "CHARLTON",
        "middle_name": "EASTON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-02",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME147220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shurnett Cole, LDO
• Candace Colella
• Jose A Colindres, M.D.
• Ralph C Collazo, DDS
• Courtney Colletti
• Michael Collins, LP
• Lisamarie Colon-Ramirez
• Daniela Colon
• Linda Colon, MD
• Colormeconcept LLC

• Internal Medicine Physician in Coral Springs, FL
• Providers in Coral Springs, 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 Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.