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MILLENNIUM PHYSICIAN GROUP LLC
NPI 1013670090
Family Medicine in Naples, FL

Active since October 18, 2021CLIA Certified · 6 labs
800 GOODLETTE ROAD N, SUITE 200, NAPLES, FL 34102(239) 302-3300(239) 302-3301 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 18, 2023, Oct 18, 2021 (2 updates tracked since 2021).

About Millennium Physician Group Llc NPPES

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

MILLENNIUM PHYSICIAN GROUP LLC (NPI 1013670090) is a healthcare organization registered as a family medicine in Naples, Florida and active in the NPI registry since October 2021. The organization holds 6 active CLIA laboratory certificates and lists Mary Haltigan, Director Of Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1013670090
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMILLENNIUM PHYSICIAN GROUP LLC
Location Address800 GOODLETTE ROAD N, SUITE 200Naples, FL 34102-5408
Mailing Address2675 Winkler Ave Fl 2Fort Myers, FL 33901-9342 · (877) 856-3774 · Fax (239) 599-2612
Phone(239) 302-3300
Fax(239) 302-3301
Organization SubpartNo
Authorized OfficialMary HaltiganDirector Of Revenue Cycle · (877) 856-3774
Enumeration DateOctober 18, 2021
Last NPPES UpdateJanuary 18, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2023
✔ NPI 1013670090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
800 GOODLETTE ROAD N, Naples, FL 34102
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), 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 10D2305700

Millennium Physician Group, LLC · Naples, FL
Active · expires Jun 4, 2028
CLIA Number10D2305700
Laboratory TypePhysician Office
Certificate Effective DateJune 5, 2026
Certificate Expiration DateJune 4, 2028
Laboratory DirectorAshley Langford-Tunkle
Laboratory Phone(941) 787-7665
Laboratory LocationMillennium Physician Group, LLC800 Goodlette Rd - Ste 110, Naples, FL 34102
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2059794

Millennium Physician Group · Naples, FL
Active · expires May 30, 2027
CLIA Number10D2059794
Laboratory TypePhysician Office
Certificate Effective DateMay 31, 2025
Certificate Expiration DateMay 30, 2027
Laboratory DirectorCesar De Leon
Laboratory Phone(941) 764-1880
Laboratory LocationMillennium Physician Group501 Goodlette Rd N Ste 100A, Naples, FL 34102
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2279632

Millennium Physician Group LLC · Naples, FL
Active · expires Apr 4, 2027
CLIA Number10D2279632
Laboratory TypePhysician Office
Certificate Effective DateApril 5, 2025
Certificate Expiration DateApril 4, 2027
Laboratory DirectorMark Hilborn
Laboratory Phone(941) 787-7665
Laboratory LocationMillennium Physician Group LLC88 12th St N, Naples, FL 34102
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2090689

Millennium Physician Group LLC · Naples, FL
Active · expires Jan 28, 2027
CLIA Number10D2090689
Laboratory TypePhysician Office
Certificate Effective DateJanuary 29, 2025
Certificate Expiration DateJanuary 28, 2027
Laboratory DirectorAngel Herrera
Laboratory Phone(941) 787-7665
Laboratory LocationMillennium Physician Group LLC800 Goodlette Rd - Ste 200 & 205, Naples, FL 34102
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2088145

Millennium Physician Group · Naples, FL
Active · expires Dec 10, 2026
CLIA Number10D2088145
Laboratory TypePhysician Office
Certificate Effective DateDecember 11, 2024
Certificate Expiration DateDecember 10, 2026
Laboratory DirectorAshley Langford-Tunkle
Laboratory Phone(941) 787-7665
Laboratory LocationMillennium Physician Group800 Goodlette Rd Ste 340 &380, Naples, FL 34102
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 10D0872962

Millennium Physician Group LLC · Naples, FL
Active · expires Sep 1, 2026
CLIA Number10D0872962
Laboratory TypePhysician Office
Certificate Effective DateSeptember 2, 2024
Certificate Expiration DateSeptember 1, 2026
Laboratory DirectorDr. Khurram Shafique
Laboratory Phone(941) 764-1880
Laboratory LocationMillennium Physician Group LLC400 8th St N, Naples, FL 34102
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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.

EMILY GARRETT PA-C
Physician Assistant
800 GOODLETTE ROAD N, SUITE 130
NAPLES, FL 34102
Collier County (239) 649-3333
TYRONE J MEDINA MD
Family Medicine
800 GOODLETTE ROAD N, SUITE 130
NAPLES, FL 34102
Collier County (239) 649-3333
DR. DOUGLAS D BERNARD MD
Family Medicine
800 GOODLETTE ROAD N, SUITE 310
NAPLES, FL 34102
Collier County (239) 624-0870
TAMMY LEE CALAMARI PA-C
Physician Assistant
800 GOODLETTE ROAD N, SUITE 130
NAPLES, FL 34102
Collier County (239) 649-3333
MILLENNIUM PHYSICIAN GROUP LLC
Family Medicine
800 GOODLETTE ROAD N, SUITE 340
NAPLES, FL 34102
Collier County (239) 206-1625

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 Millennium Physician Group LLC's NPI number?

The NPI number for Millennium Physician Group LLC is 1013670090. It was assigned to this organization in the NPPES registry on October 18, 2021.

Where is Millennium Physician Group LLC located?

Millennium Physician Group LLC is located at 800 Goodlette Road N Suite 200, Naples, FL 34102. The listed phone number is (239) 302-3300.

What is Millennium Physician Group LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Millennium Physician Group LLC 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 Millennium Physician Group LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Millennium Physician 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 Millennium Physician Group LLC was last updated on January 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.