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COLLIER HMA PHYSICIAN MANAGEMENT LLC
NPI 1053056176
Internal Medicine in Bonita Springs, FL

Active since May 03, 2022CLIA 10D2275046 · Waiver
8951 BONITA BEACH RD SE STE 310, BONITA SPRINGS, FL 34135(239) 348-4221(239) 354-9509 Get Directions Write a Review

NPPES record last updated: May 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Collier Hma Physician Management Llc NPPES

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

COLLIER HMA PHYSICIAN MANAGEMENT LLC (NPI 1053056176) is a healthcare organization registered as an internal medicine in Bonita Springs, Florida and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through January 16, 2027 and lists Jennifer L Jackson, Sr Dir Prov Enrollment & Cvs, as its authorized official.

NPPES Registry Identity

NPI1053056176
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCOLLIER HMA PHYSICIAN MANAGEMENT LLC
Location Address8951 BONITA BEACH RD SE STE 310Bonita Springs, FL 34135-4222
Mailing AddressPo Box 689022Franklin, TN 37068-9022 · (615) 465-7211 · Fax (615) 628-6877
Phone(239) 348-4221
Fax(239) 354-9509
Organization SubpartNo
Authorized OfficialJennifer L JacksonSr Dir Prov Enrollment & Cvs · (615) 465-3334
Enumeration DateMay 3, 2022
NPPES CertifiedMay 3, 2022
✔ NPI 1053056176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPhysician AssistantTaxonomy 363A00000X
8951 BONITA BEACH RD SE STE 310, Bonita Springs, FL 34135
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Other Names 1

Doing Business AsCollier Hma Physician Management Llc

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

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 10D2275046

Collier Hma Physicians Management LLC · Naples, FL
Active · expires Jan 16, 2027
CLIA Number10D2275046
Laboratory TypePhysician Office
Certificate Effective DateJanuary 17, 2025
Certificate Expiration DateJanuary 16, 2027
Laboratory DirectorLisa Hendricks
Laboratory Phone(239) 348-4221
Laboratory LocationCollier Hma Physicians Management LLC8340 Collier Blvd Ste 207, Naples, FL 34114
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Collier Hma Physician Management LLC's NPI number?

The NPI number for Collier Hma Physician Management LLC is 1053056176. It was assigned to this organization in the NPPES registry on May 3, 2022.

Where is Collier Hma Physician Management LLC located?

Collier Hma Physician Management LLC is located at 8951 Bonita Beach Rd SE Ste 310, Bonita Springs, FL 34135. The listed phone number is (239) 348-4221.

What is Collier Hma Physician Management LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Collier Hma Physician Management LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2275046) is associated with this NPI, valid through January 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Collier Hma Physician Management LLC was last updated on May 3, 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.