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COLLIER HMA PHYSICIAN MANAGEMENT LLC
NPI 1073186227
Internal Medicine in Naples, FL

Active since July 23, 2021CLIA 10D1074254 · Waiver
6376 PINE RIDGE RD UNIT 200, NAPLES, FL 34119(615) 465-7211(615) 628-6877 Get Directions Write a Review

NPPES record last updated: March 8, 2022. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Mar 8, 2022, Jul 23, 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 1073186227) is a healthcare organization registered as an internal medicine in Naples, Florida and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through September 25, 2027 and lists Jennifer L Jackson, Sr Dir Prov Enrollment & Onboarding, as its authorized official.

NPPES Registry Identity

NPI1073186227
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCOLLIER HMA PHYSICIAN MANAGEMENT LLC
Location Address6376 PINE RIDGE RD UNIT 200Naples, FL 34119-3905
Mailing AddressPo Box 689022Franklin, TN 37068-9022 · (239) 348-4221 · Fax (239) 348-4433
Phone(615) 465-7211
Fax(615) 628-6877
Organization SubpartNo
Authorized OfficialJennifer L JacksonSr Dir Prov Enrollment & Onboarding · (615) 465-3334
Enumeration DateJuly 23, 2021
Last NPPES UpdateMarch 8, 20222 updates tracked since enumeration
NPPES CertifiedMarch 8, 2022
✔ NPI 1073186227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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 ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
6376 PINE RIDGE RD UNIT 200, 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 10D1074254

Collier Blvd Hma Physician Management, LLC · Naples, FL
Active · expires Sep 25, 2027
CLIA Number10D1074254
Laboratory TypePhysician Office
Certificate Effective DateSeptember 26, 2025
Certificate Expiration DateSeptember 25, 2027
Laboratory DirectorSusan Manson
Laboratory Phone(239) 348-4221
Laboratory LocationCollier Blvd Hma Physician Management, LLC8360 Sierra Meadows Blvd Suite 200, Naples, FL 34113
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

RONALD P CAPUTO MD
Internal Medicine (Interventional Cardiology)
6376 PINE RIDGE RD UNIT 200
NAPLES, FL 34119
Collier County (239) 348-4221
MRS. SARAH M SEVERO APRN
Nurse Practitioner
6376 PINE RIDGE RD UNIT 200
NAPLES, FL 34119
Collier County (239) 348-4221
COLLIER BOULEVARD HMA PHYSICIAN MANAGEMENT LLC
Internal Medicine
6376 PINE RIDGE RD UNIT 200
NAPLES, FL 34119
Collier County (239) 348-4221

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 1073186227. It was assigned to this organization in the NPPES registry on July 23, 2021.

Where is Collier Hma Physician Management LLC located?

Collier Hma Physician Management LLC is located at 6376 Pine Ridge Rd Unit 200, Naples, FL 34119. The listed phone number is (615) 465-7211.

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 10D1074254) is associated with this NPI, valid through September 25, 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.