JERRY M ALSTOTT MD
NPI 1063785095
Family Medicine - Adult Medicine in Mount Dora, FL
About Jerry M Alstott Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JERRY M ALSTOTT MD (NPI 1063785095) is a healthcare organization registered as an adult medicine in Mount Dora, Florida and active in the NPI registry since February 2012. The organization lists Jerry M Alstott, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jerry M Alstott Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Jerry M Alstott MD, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Omni Family Medicine, LLC's NPI number?
The NPI number for Omni Family Medicine, LLC is 1063785095. It was assigned to this organization in the NPPES registry on February 22, 2012. The provider is doing business as Jerry M Alstott MD.
Where is Omni Family Medicine, LLC located?
Omni Family Medicine, LLC is located at 8030 Saint James Way, Mount Dora, FL 32757. The listed phone number is (407) 908-0064.
What is Omni Family Medicine, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.
Is Omni Family Medicine, LLC enrolled in Medicare?
Yes. Omni Family Medicine, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Omni Family Medicine, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Omni Family Medicine, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Omni Family Medicine, LLC was last updated on May 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Jerry M Alstott Md · NPI 1063785095
Adult Medicine organization in Mount Dora, Florida. Organization record, active in the CMS NPPES registry since February 22, 2012.
## Identity
- **NPI:** 1063785095 (Entity type: Organization)
- **Enumerated:** February 22, 2012
- **Primary specialty:** Family Medicine - Adult Medicine · taxonomy 207QA0505X
- **Legal business name:** Omni Family Medicine, Llc
- **Organization subpart:** No
- **Authorized official:** Jerry Alstott, OWNER
## Practice location
- **Address:** 8030 SAINT JAMES WAY, Mount Dora, FL 32757-9134
- **Phone:** (407) 908-0064 · **Fax:** (352) 383-9319
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 10, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1063785095) · Data from the CMS NPPES public registry.