DIVERSITY HEALTHCARE 'LLC'
NPI 1144907429
Clinic/Center - Primary Care in Haines City, FL
About Diversity Healthcare 'llc' NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIVERSITY HEALTHCARE 'LLC' (NPI 1144907429), doing business as Diversity Healthcare, is a healthcare organization registered as a primary care in Haines City, Florida and active in the NPI registry since June 2023. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Winter Haven, and lists Clayton Dale Reedy, Owner/provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 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)
Diversity Healthcare 'llc' is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Diversity Healthcare 'llc', which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 2
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 10D2335809
Diversity Healthcare LLC · Winter Haven, FLCertificate of Waiver 10D2277304
Diversity Healthcare · Haines City, FLFrequently 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 Diversity Healthcare 'llc''s NPI number?
The NPI number for Diversity Healthcare 'llc' is 1144907429. It was assigned to this organization in the NPPES registry on June 29, 2023. The provider is doing business as Diversity Healthcare.
Where is Diversity Healthcare 'llc' located?
Diversity Healthcare 'llc' is located at 1011 E Main St, Haines City, FL 33844. The listed phone number is (863) 419-4422.
What is Diversity Healthcare 'llc''s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Diversity Healthcare 'llc' enrolled in Medicare?
Yes. Diversity Healthcare 'llc' is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Diversity Healthcare 'llc'?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Diversity Healthcare 'llc', in Family Practice, Mental Health Counselor and Nurse Practitioner. 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. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Diversity Healthcare 'llc' hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Diversity Healthcare 'llc' was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Diversity Healthcare 'llc' · NPI 1144907429
Primary Care organization in Haines City, Florida. Organization record, active in the CMS NPPES registry since June 29, 2023.
## Identity
- **NPI:** 1144907429 (Entity type: Organization)
- **Enumerated:** June 29, 2023
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Also known as:** Diversity Healthcare (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Clayton Reedy, OWNER/PROVIDER
## Practice location
- **Address:** 1011 E MAIN ST, Haines City, FL 33844-4239
- **Phone:** (863) 419-4422 · **Fax:** (833) 795-1975
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1), Mental Health Counselor (1); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 31, 2026
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1144907429) · Data from the CMS NPPES public registry.