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PHYSICIANS REGIONAL MEDICAL GROUP
NPI 1124696000
Internal Medicine in Marco Island, FL

Active since June 16, 2021CLIA 10D2169353 · Waiver
1839 SAN MARCO RD, MARCO ISLAND, FL 34145(239) 348-4504(239) 348-4506 Get Directions Write a Review

NPPES record last updated: March 8, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 8, 2022, Jun 16, 2021 (2 updates tracked since 2021).

About Physicians Regional Medical Group NPPES

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

PHYSICIANS REGIONAL MEDICAL GROUP (NPI 1124696000) is a healthcare organization registered as an internal medicine in Marco Island, Florida and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through July 17, 2027 and lists Jennifer L Jackson, Sr Dir Prov Enrollment & Onboarding, as its authorized official.

NPPES Registry Identity

NPI1124696000
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCOLLIER HMA PHYSICIAN MANAGEMENT LLC
Location Address1839 SAN MARCO RDMarco Island, FL 34145-6722
Mailing AddressPo Box 689022Franklin, TN 37068-9022 · (615) 465-7211 · Fax (615) 628-6877
Phone(239) 348-4504
Fax(239) 348-4506
Organization SubpartNo
Authorized OfficialJennifer L JacksonSr Dir Prov Enrollment & Onboarding · (615) 465-3334
Enumeration DateJune 16, 2021
Last NPPES UpdateMarch 8, 20222 updates tracked since enumeration
NPPES CertifiedMarch 8, 2022
✔ NPI 1124696000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ 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 ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1839 SAN MARCO RD, Marco Island, FL 34145
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Other Names 2

Doing Business AsPhysicians Regional Medical Group
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 10D2169353

Collier Hma Physician Management, LLC · Marco Island, FL
Active · expires Jul 17, 2027
CLIA Number10D2169353
Laboratory TypePhysician Office
Certificate Effective DateJuly 18, 2025
Certificate Expiration DateJuly 17, 2027
Laboratory DirectorLloyd Hughes
Laboratory Phone(239) 348-4411
Laboratory LocationCollier Hma Physician Management, LLC1839 San Marco Rd Lab A, Marco Island, FL 34145
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

COLLIER BOULEVARD HMA PHYSICIAN MANAGEMENT LLC
Internal Medicine
1839 SAN MARCO RD
MARCO ISLAND, FL 34145
Collier County (239) 394-1670

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 1124696000. It was assigned to this organization in the NPPES registry on June 16, 2021. The provider is doing business as Physicians Regional Medical Group.

Where is Collier Hma Physician Management LLC located?

Collier Hma Physician Management LLC is located at 1839 San Marco Rd, Marco Island, FL 34145. The listed phone number is (239) 348-4504.

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 10D2169353) is associated with this NPI, valid through July 17, 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.