LEESBURG REGIONAL MEDICAL CENTER PHYSICIAN SERVICES LLC
NPI 1104063114
Emergency Medicine in Leesburg, FL

Q: What is Leesburg Regional Medical Center Physician Services LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since January 13, 2009

600 E DIXIE AVE, LEESBURG, FL 34748(523) 594-0827(352) 323-5039 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 21, 2024, Jun 27, 2016 (2 updates tracked since 2016).

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About Leesburg Regional Medical Center Physician Services Llc NPPES

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

LEESBURG REGIONAL MEDICAL CENTER PHYSICIAN SERVICES LLC (NPI 1104063114) is a healthcare organization registered as an emergency medicine in Leesburg, Florida and active in the NPI registry since January 2009. The organization maintains a secondary practice location in Mount Dora and lists Heather Long, President, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104063114

Entity TypeOrganization

Primary Taxonomy207P00000X

Legal Business NameLEESBURG REGIONAL MEDICAL CENTER PHYSICIAN SERVICES LLC

Location Address600 E DIXIE AVELeesburg, FL 34748-5925

Mailing Address600 E Dixie AveLeesburg, FL 34748-5925 · (352) 323-5002 · Fax (352) 323-5039

Phone(523) 594-0827

Fax(352) 323-5039

Organization SubpartNo

Authorized OfficialHeather LongPresident, Ceo · (352) 323-5761

Enumeration DateJanuary 13, 2009

Last NPPES UpdateNovember 21, 20242 updates tracked since enumeration

NPPES CertifiedNovember 21, 2024

✔ NPI 1104063114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License ME102387 (FL)

Also ListedSurgeryTaxonomy 208600000X · License ME101492 (FL), ME062340 (FL)

600 E DIXIE AVE, Leesburg, FL 34748

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Secondary Practice Location 1

Location 117021 US Highway 441Mount Dora, FL 32757-6734 · Phone (523) 594-0827

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leesburg Regional Medical Center Physician Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 94 clinicians reassign Medicare billing to Leesburg Regional Medical Center Physician Services LLC, which bills Medicare for the services they deliver. Of these, 18 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Emergency Medicine46

Family Practice15

Nurse Practitioner15

Internal Medicine9

Pulmonary Disease4

Critical Care (Intensivists)3

Anesthesiology1

Psychiatry1

Nearest to this location (20)

See all 94

Genevieve Beharie, APRN

Nurse Practitioner

NPI 1346587649