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

Active since October 07, 2014CLIA Certified · 6 labs
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: August 09, 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 6 active CLIA laboratory certificates 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
Phone(704) 529-6161
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
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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

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA 6

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 10D2085754

Healthstat Wellness Inc · Dade City, FL
Active · expires Oct 20, 2026
CLIA Number10D2085754
Laboratory TypeChronic Mgt Clinic
Certificate Effective DateOctober 21, 2024
Certificate Expiration DateOctober 20, 2026
Laboratory DirectorJeanne M. Mcgregor
Laboratory Phone(704) 936-5546
Laboratory LocationHealthstat Wellness Inc36739 State Rd 52 - Ste 104, Dade City, FL 33525
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2039393

Healthstat Wellness Inc · Haines City, FL
Active · expires Apr 8, 2028
CLIA Number10D2039393
Laboratory TypeChronic Disease Mgt Clini
Certificate Effective DateApril 9, 2026
Certificate Expiration DateApril 8, 2028
Laboratory DirectorDonald Johnson
Laboratory Phone(704) 936-5546
Laboratory LocationHealthstat Wellness Inc631B Us Hwy 17-92w, Haines City, FL 33844
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Certificate of Waiver 10D1099393

Healthstat Wellness Inc · Lakeland, FL
Active · expires May 11, 2027
CLIA Number10D1099393
Laboratory TypeChronic Mgt
Certificate Effective DateMay 12, 2025
Certificate Expiration DateMay 11, 2027
Laboratory DirectorTracy Connell
Laboratory Phone(704) 936-5546
Laboratory LocationHealthstat Wellness Inc490 N Lake Parker Ave, Lakeland, FL 33801
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2163612

Healthstat Wellness Inc · Land O Lakes, FL
Active · expires Mar 18, 2027
CLIA Number10D2163612
Laboratory TypeChronic Management
Certificate Effective DateMarch 19, 2025
Certificate Expiration DateMarch 18, 2027
Laboratory DirectorJeanne M. Mcgregor
Laboratory Phone(704) 936-5546
Laboratory LocationHealthstat Wellness Inc4111 Land O Lakes Blvd Ste 302, Land O Lakes, FL 34639
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2118102

Healthstat Wellness Inc · Tavares, FL
Active · expires Aug 29, 2026
CLIA Number10D2118102
Laboratory TypeChronic Mgt
Certificate Effective DateAugust 30, 2024
Certificate Expiration DateAugust 29, 2026
Laboratory DirectorRobert Raquet
Laboratory Phone(704) 936-5546
Laboratory LocationHealthstat Wellness Inc1939 Salk Avenue, Tavares, FL 32778
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.

EDWIN COLON, MD PA
Specialist
36739 STATE ROAD 52, SUITE 102
DADE CITY, FL 33525
Pasco County (352) 567-4117
DADE CITY PRIMARY CARE CENTER
Internal Medicine
36739 STATE ROAD 52
DADE CITY, FL 33525
Pasco County (727) 458-7461
ROLLER GYNECOLOGY LLC
Obstetrics & Gynecology (Gynecology)
36739 STATE ROAD 52, SUITE 101
DADE CITY, FL 33525
Pasco County (813) 333-5233
VERSSA WOMENS CENTER PA
Obstetrics & Gynecology
36739 STATE ROAD 52, SUITE 101
DADE CITY, FL 33525
Pasco County (352) 437-4808
HOLISTIC SOLUTIONS COUNSELING CENTER, LLC
Counselor (Mental Health)
36739 STATE ROAD 52
DADE CITY, FL 33525
Pasco County (813) 712-0188

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 CLIA laboratory certificates?

Yes. 6 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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 5 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.