GULF COAST MEDICAL GROUP NORTH PORT PRIMARY CARE
NPI 1013685973
Family Medicine in North Port, FL

Active since September 03, 2021
18659 TAMIAMI TRL STE A, NORTH PORT, FL 34287(941) 429-3416(941) 429-3430 Get Directions Write a Review

NPPES record last updated: March 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gulf Coast Medical Group North Port Primary Care NPPES

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

GULF COAST MEDICAL GROUP NORTH PORT PRIMARY CARE (NPI 1013685973) is a healthcare organization registered as a family medicine in North Port, Florida and active in the NPI registry since September 2021. The organization lists Jennifer L Jackson, Sr Dr Prov Enrollment & Onboarding, as its authorized official.

NPPES Registry Identity

NPI1013685973
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGULF COAST HMA PHYSICIAN MANAGEMENT LLC
Location Address18659 TAMIAMI TRL STE ANorth Port, FL 34287-7388
Mailing AddressPo Box 689022Franklin, TN 37068-9022 · (615) 465-7211 · Fax (615) 628-6877
Fax(941) 429-3430
Organization SubpartNo
Authorized OfficialJennifer L JacksonSr Dr Prov Enrollment & Onboarding · (615) 465-3334
Enumeration DateSeptember 3, 2021
Last NPPES UpdateMarch 14, 2022
NPPES CertifiedMarch 14, 2022
NPI 1013685973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

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.
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedSurgeryTaxonomy 208600000X
Also ListedPodiatristTaxonomy 213E00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X
18659 TAMIAMI TRL STE A, North Port, FL 34287

Other Names 1

Doing Business AsGulf Coast Medical Group North Port Primary Care

Other Identifiers 1

MedicaidPENDINGFL

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Internal Medicine
18659 TAMIAMI TRL STE A
NORTH PORT, FL 34287
Physician Assistant
18659 TAMIAMI TRL STE A
NORTH PORT, FL 34287

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 Gulf Coast Hma Physician Management LLC's NPI number?

The NPI number for Gulf Coast Hma Physician Management LLC is 1013685973. It was assigned to this organization in the NPPES registry on September 3, 2021. The provider is doing business as Gulf Coast Medical Group North Port Primary Care.

Where is Gulf Coast Hma Physician Management LLC located?

Gulf Coast Hma Physician Management LLC is located at 18659 Tamiami Trl Ste A, North Port, FL 34287. The listed phone number is (941) 429-3416.

What is Gulf Coast Hma Physician Management LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Gulf Coast Hma Physician Management LLC was last updated on March 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.