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COLLIER HMA PHYSICIAN MANAGEMENT LLC
NPI 1063082758
Orthopaedic Surgery in Naples, FL

Active since June 25, 2021CLIA 10D2229280 · Waiver
6376 PINE RIDGE RD UNIT 130, NAPLES, FL 34119(239) 348-4221(239) 348-4148 Get Directions Write a Review

NPPES record last updated: March 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 8, 2022, Jun 25, 2021 (2 updates tracked since 2021).

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 1063082758) is a healthcare organization registered as an orthopaedic surgery in Naples, Florida and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through July 8, 2027 and lists Jennifer L Jackson, Sr Dir Prov Enrollment & Onboarding, as its authorized official.

NPPES Registry Identity

NPI1063082758
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameCOLLIER HMA PHYSICIAN MANAGEMENT LLC
Location Address6376 PINE RIDGE RD UNIT 130Naples, FL 34119-3905
Mailing AddressPo Box 689022Franklin, TN 37068-9022 · (615) 465-7211 · Fax (615) 628-6877
Phone(239) 348-4221
Fax(239) 348-4148
Organization SubpartNo
Authorized OfficialJennifer L JacksonSr Dir Prov Enrollment & Onboarding · (615) 465-3334
Enumeration DateJune 25, 2021
Last NPPES UpdateMarch 8, 20222 updates tracked since enumeration
NPPES CertifiedMarch 8, 2022
✔ NPI 1063082758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedGeneral PracticeTaxonomy 208D00000X
6376 PINE RIDGE RD UNIT 130, Naples, FL 34119
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Other Names 1

Doing Business AsCollier Hma Physician Management Llc

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

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 10D2229280

Collier Hma Physician Management, LLC · Naples, FL
Active · expires Jul 8, 2027
CLIA Number10D2229280
Laboratory TypePhysician Office
Certificate Effective DateJuly 9, 2025
Certificate Expiration DateJuly 8, 2027
Laboratory DirectorJonas Mansson
Laboratory Phone(239) 354-6366
Laboratory LocationCollier Hma Physician Management, LLC6376 Pine Ridge Rd Unit 300 Lab B, Naples, FL 34119
CLIA data matches this NPI record on: Name
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 1063082758. It was assigned to this organization in the NPPES registry on June 25, 2021.

Where is Collier Hma Physician Management LLC located?

Collier Hma Physician Management LLC is located at 6376 Pine Ridge Rd Unit 130, Naples, FL 34119. 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 Orthopaedic Surgery with taxonomy code 207X00000X.

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

Yes. A Certificate of Waiver (number 10D2229280) is associated with this NPI, valid through July 8, 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 March 8, 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.