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SOUTH LAKE MEDICAL CENTER INC
NPI 1144414038
Internal Medicine in Clermont, FL

Active since September 04, 2007CLIA 10D1075899 · Waiver
1950 HOSPITAL VIEW WAY, CLERMONT, FL 34711(352) 243-3443(352) 243-3044 Get Directions Write a Review

NPPES record last updated: July 28, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About South Lake Medical Center Inc NPPES

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

SOUTH LAKE MEDICAL CENTER INC (NPI 1144414038) is a healthcare organization registered as an internal medicine in Clermont, Florida and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through October 30, 2027 and lists Shazia Nasir, Owner, as its authorized official.

NPPES Registry Identity

NPI1144414038
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSOUTH LAKE MEDICAL CENTER INC
Location Address1950 HOSPITAL VIEW WAYClermont, FL 34711-1926
Mailing AddressPo Box 754Minneola, FL 34755-0754 · (352) 243-3443 · Fax (352) 243-3044
Phone(352) 243-3443
Fax(352) 243-3044
Organization SubpartNo
Authorized OfficialShazia NasirOwner · (352) 243-3443
Enumeration DateSeptember 4, 2007
Last NPPES UpdateJuly 28, 2015
✔ NPI 1144414038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME88336
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.
1950 HOSPITAL VIEW WAY, Clermont, FL 34711
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Other Identifiers 2

Medicare PINU1319YFL
Medicare UPINH94041FL

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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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)

South Lake Medical Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to South Lake Medical Center Inc, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Jessica Bean, ARNP
Nurse Practitioner
NPI 1861876856
1950 HOSPITAL VIEW WAY
Clermont, FL 34711
(352) 243-3443
✔ PECOS✔ Accepts MedicareSame address
Shazia Nasir, MD
Internal Medicine
NPI 1538256953
1950 HOSPITAL VIEW WAY
Clermont, FL 34711
(352) 243-3443
✔ PECOS✔ Accepts MedicareSame address
Kendall Sheffield, FNP-C
Nurse Practitioner
NPI 1104653948
1950 HOSPITAL VIEW WAY
Clermont, FL 34711
(352) 243-3443
✔ PECOS✔ Accepts MedicareSame address
Lindsay Wood
Nurse Practitioner
NPI 1609484609
1950 HOSPITAL VIEW WAY
Clermont, FL 34711
(352) 243-3443
✔ PECOS✔ Accepts MedicareSame address
Ayan Nasir, MD
Internal Medicine
NPI 1124656459
4500 SAN PABLO RD S
Jacksonville, FL 32224
(904) 953-2000
✔ PECOS✔ Accepts Medicare119 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 10D1075899

South Lake Medical Center Inc · Clermont, FL
Active · expires Oct 30, 2027
CLIA Number10D1075899
Laboratory TypePhysician Office
Certificate Effective DateOctober 31, 2025
Certificate Expiration DateOctober 30, 2027
Laboratory DirectorShazia Nasir MD
Laboratory Phone(352) 243-3443
Laboratory LocationSouth Lake Medical Center Inc1950 Hospital View Way, Clermont, FL 34711
CLIA data matches this NPI record on: Address Name Phone
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 South Lake Medical Center Inc's NPI number?

The NPI number for South Lake Medical Center Inc is 1144414038. It was assigned to this organization in the NPPES registry on September 4, 2007.

Where is South Lake Medical Center Inc located?

South Lake Medical Center Inc is located at 1950 Hospital View Way, Clermont, FL 34711. The listed phone number is (352) 243-3443.

What is South Lake Medical Center Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is South Lake Medical Center Inc enrolled in Medicare?

Yes. South Lake Medical Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Lake Medical Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to South Lake Medical Center Inc. 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. The largest specialties are Nurse Practitioner (3) and Internal Medicine (2). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does South Lake Medical Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1075899) is associated with this NPI, valid through October 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does South Lake Medical Center Inc accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list South Lake Medical Center Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for South Lake Medical Center Inc was last updated on July 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.