NPIMap

Organization Active NPI

Notami Hospitals of Florida Inc

Doing business as HCA Florida Lake City Hospital

  • General Acute Care Hospital
  • Lake City, FL
National Provider Identifier
1992751879
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
NOTAMI HOSPITALS OF FLORIDA INC
Doing business as
HCA Florida Lake City Hospital
Practice address
340 NW Commerce Dr
Lake City, FL 32055-4709
Phone
(386) 719-9000
Fax
(386) 719-7787
NPI assigned
May 25, 2006
Last updated
Nov 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Authorized official

Name
Kim Williams
Title
Cfo
Phone
(386) 719-9012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NU Primary

Addresses

Primary practice location

340 NW Commerce Dr
Lake City, FL 32055-4709

Mailing address

340 NW Commerce Dr
Lake City, FL 32055-4709
Phone (386) 719-9000

Other identifiers 6

IdentifierTypeStateIssuer
000240952XMedicaidGA
02064322MedicaidNY
111795OtherFLAMERIGROUP
103517OtherFLAVMED
137OtherFLBLUE CROSS/HOPT
11976800MedicaidFL

Other names 1

  • HCA Florida Lake City Hospital Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network
Direct Messaging Address LAKECITY.COCIE.FLL@CCDA.HCADIRECT.NET

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070921000549 FL Part A Provider - Hospital 6204847403 Practice locations: Lake City, FL; Live Oak, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992751879. Details of each certification follow.

Hospital certification: CCN 100156

Legal name
NOTAMI HOSPITALS OF FLORIDA INC
Doing business as
HCA FLORIDA LAKE CITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Sep 29, 1978
Last certification
Jun 12, 2019
Beds
141
Ownership / control type
Private (for profit)
Organization structure
CorporationProprietary
Incorporated
Jul 5, 1988 in FL
Enrollment address
340 NW Commerce Drive
Lake City, FL 32055-4709
Main/Primary Hospital Location
Hospital subgroups
Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
HCA Florida Lake City HospitalCCN 100156 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Notami Hospitals of Florida Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

320 N W Commerce Dr
Lake City, FL 32055

3239 NW York Dr
Lake City, FL 32055
Phone (352) 375-1212

Interoperability endpoints

  • Direct secure messaging: lakecity.cocie.fll@ccda.hcadirect.net

Ownership & related parties

All disclosed owners & managing parties 38

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Michael McAlevey Individual Corporate Officer Feb 1, 2022
Jaime L Derensis Individual Corporate Officer Nov 4, 2020
HCA Inc Organization, Nashville, TN Corporation, For-profit, Chain home office 5% Or Greater Indirect Ownership Interest May 10, 2016 100%
John M Franck Individual Corporate Officer May 31, 2007
Corporate Director May 31, 2007
Douglas L Downey Individual Corporate Officer Apr 18, 2016
Eric D Smith Individual OtherVice President - Reimbursement Mar 1, 2021
Lindsay Q Laxton Individual W-2 Managing EmployeeCfo Aug 12, 2025
HCA Healthcare Inc Organization, Nashville, TN Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest May 10, 2016 100%
Henry Todd Maxwell Individual Corporate Officer Jan 1, 2024
Frisco Holding II Organization, Wilmington, DE Holding company, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Feb 6, 2026 16.3%
Christopher F Wyatt Individual Corporate Officer Apr 18, 2016
Corporate Director Apr 18, 2016
John I Starling Individual Corporate Officer Oct 7, 2019
Shirley E Scharf-Cheatham Individual Corporate Officer Jan 1, 2010
Richard Hammett Individual Corporate Officer Jun 1, 2020
John M Hackett Individual Corporate Officer Apr 18, 2016
Brian T Cook Individual Corporate Officer Jan 1, 2023
Hercules Holding II Organization, Nashville, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest May 10, 2016 14.4%
Samuel N Hazen Individual Corporate Officer Jul 14, 2011
Corporate Director Jul 14, 2011
Ronald Lee Grubbs Individual Corporate Officer Jan 1, 2010
Monica Cintado Individual Corporate Officer Oct 7, 2019
Gary S Whitmore Individual Corporate Officer Jan 1, 2023
Jon Foster Individual Corporate Officer Jan 1, 2023
Healthtrust Inc - the Hospital Company Organization, Nashville, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest May 10, 2016 100%
Notco, LLC Organization, Nashville, TN LLC, For-profit 5% Or Greater Direct Ownership Interest May 10, 2016 100%
Seth a Killingbeck Individual Corporate Officer Apr 18, 2016
Ricardo Pavon Individual Corporate Officer Apr 18, 2016
Timothy Scott Noonan Individual Corporate Officer Apr 18, 2016
Natalie H Cline Individual Corporate Officer Apr 18, 2016
Michael T Bray Individual Corporate Officer Jan 1, 2010
Matthew R Favicchio Individual Corporate Officer Sep 5, 2025
Peter J Rossell Individual Corporate Officer Jan 1, 2023
Michael a Marks Individual Corporate Officer Sep 5, 2025
Edwin W Robinson Individual Corporate Officer Sep 5, 2025
Brad Ej Spicer Individual Corporate Officer Jan 1, 2023
Kevin a Ball Individual Corporate Officer Apr 18, 2016
Jeffery McInturff Individual Corporate Officer Nov 29, 2021
Deborah H Mullin Individual Corporate Officer Jan 1, 2010
Jennifer J Adams Individual Corporate OfficerCeo Jun 10, 2021
W-2 Managing EmployeeCeo Jun 10, 2021

Facilities with the same owner 33

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 33

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

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.

Affiliated clinicians 455

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 455

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1992751879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 NW COMMERCE DR",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554709",
            "telephone_number": "386-719-9000",
            "fax_number": "386-719-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 NW COMMERCE DR",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554709",
            "telephone_number": "386-719-9000",
            "fax_number": "386-719-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOTAMI HOSPITALS OF FLORIDA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "386-719-9012"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000240952X",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02064322",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "111795",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "103517",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/HOPT",
            "identifier": "137",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11976800",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "LAKECITY.COCIE.FLL@CCDA.HCADIRECT.NET",
            "affiliation": "N",
            "endpointDescription": "Please contact CORP.HCACEP@HCAHealthcare.com for information regarding validation steps that may be required to ensure CCDs sent to the listed direct address are successfully received",
            "address_1": "340 NW Commerce Dr",
            "city": "Lake City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320554709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "HCA Florida Lake City Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake City, FL

Sources for this page

Verify at the official NPI Registry.