OLYMPIA MEDICAL GROUP, LLC
NPI 1013473495
Family Medicine in Davenport, FL
About Olympia Medical Group, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OLYMPIA MEDICAL GROUP, LLC (NPI 1013473495) is a healthcare organization registered as a family medicine in Davenport, Florida and active in the NPI registry since February 2019. The organization holds a CLIA Waiver certificate valid through May 8, 2027 and lists Bala Kode, Managing Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
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 10D2165980
Olympia Medical Group, LLC · Davenport, FLOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DAVENPORT, FL 33837
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 Olympia Medical Group, LLC's NPI number?
The NPI number for Olympia Medical Group, LLC is 1013473495. It was assigned to this organization in the NPPES registry on February 11, 2019.
Where is Olympia Medical Group, LLC located?
Olympia Medical Group, LLC is located at 2306 North Blvd W Ste C, Davenport, FL 33837. The listed phone number is (863) 547-9200.
What is Olympia Medical Group, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Does Olympia Medical Group, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2165980) is associated with this NPI, valid through May 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Olympia Medical Group, LLC accept?
Health plans from Wellpoint list Olympia Medical Group, LLC 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 Olympia Medical Group, LLC was last updated on December 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Olympia Medical Group, Llc · NPI 1013473495
Family Medicine organization in Davenport, Florida. Organization record, active in the CMS NPPES registry since February 11, 2019.
## Identity
- **NPI:** 1013473495 (Entity type: Organization)
- **Enumerated:** February 11, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Bala Kode, MANAGING PARTNER
## Practice location
- **Address:** 2306 NORTH BLVD W STE C, Davenport, FL 33837-8976
- **Phone:** (863) 547-9200
## Record status
- **NPPES last updated:** December 22, 2023
- **Other identifiers:** Medicaid 105446600 (FL); Other HCC11921 (FL)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1013473495) · Data from the CMS NPPES public registry.