HEALTHSTAT WELLNESS PASCO DADE
NPI 1003219940
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Dade City, FL

Active since October 07, 2014CLIA 10D2103520 · Waiver
36739 STATE ROAD 52, SUITE 104, DADE CITY, FL 33525(704) 529-6161 Get Directions Write a Review

NPPES record last updated: August 17, 2020. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Healthstat Wellness Pasco Dade NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEALTHSTAT WELLNESS PASCO DADE (NPI 1003219940) is a healthcare organization registered as a preventive medicine/occupational environmental medicine in Dade City, Florida and active in the NPI registry since October 2014. The organization holds a CLIA Waiver certificate valid through October 13, 2027 and lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1003219940
Entity TypeOrganization
Primary Taxonomy2083P0500X
Legal Business NameHEALTHSTAT WELLNESS PASCO DADE
Location Address36739 STATE ROAD 52, SUITE 104Dade City, FL 33525-5101
Mailing Address4651 Charlotte Park Dr, Suite 300Charlotte, NC 28217-1956
Organization SubpartNo
Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546
Enumeration DateOctober 7, 2014
Last NPPES UpdateAugust 17, 2020
NPPES CertifiedAugust 17, 2020
NPI 1003219940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0500X
Definition
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
36739 STATE ROAD 52, Dade City, FL 33525

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2103520

Healthstat Wellness Inc · Lakeland, FL
Active · expires Oct 13, 2027
CLIA Number10D2103520
Laboratory TypeChronic Mgt Clinic
Certificate Effective DateOctober 14, 2025
Certificate Expiration DateOctober 13, 2027
Laboratory DirectorChris Whitney
Laboratory Phone(704) 936-5546
Laboratory LocationHealthstat Wellness Inc3215 Winter Lake Rd, Lakeland, FL 33803
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
36739 STATE ROAD 52, SUITE 102
DADE CITY, FL 33525
Internal Medicine
36739 STATE ROAD 52
DADE CITY, FL 33525
Obstetrics & Gynecology (Gynecology)
36739 STATE ROAD 52, SUITE 101
DADE CITY, FL 33525
Obstetrics & Gynecology
36739 STATE ROAD 52, SUITE 101
DADE CITY, FL 33525
Counselor (Mental Health)
36739 STATE ROAD 52
DADE CITY, FL 33525

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Healthstat Wellness Pasco Dade's NPI number?

The NPI number for Healthstat Wellness Pasco Dade is 1003219940. It was assigned to this organization in the NPPES registry on October 7, 2014.

Where is Healthstat Wellness Pasco Dade located?

Healthstat Wellness Pasco Dade is located at 36739 State Road 52 Suite 104, Dade City, FL 33525. The listed phone number is (704) 529-6161.

What is Healthstat Wellness Pasco Dade's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine, with taxonomy code 2083P0500X.

Does Healthstat Wellness Pasco Dade hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2103520) is associated with this NPI, valid through October 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Healthstat Wellness Pasco Dade accept?

Health plans from Florida Blue HMO (a BlueCross BlueShield FL company) list Healthstat Wellness Pasco Dade as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Healthstat Wellness Pasco Dade was last updated on August 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.