1. Home
  2. Directory
  3. Florida
  4. The Villages
  5. Internal Medicine
  6. NPI Profile

CENTERWELL SENIOR PRIMARY CARE VITALITY INC
NPI 1154293108
Internal Medicine in The Villages, FL

Active since September 19, 2025CLIA Certified · 2 labs
779 KRISTINE WAY, THE VILLAGES, FL 32163(352) 674-6020(352) 674-6030 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Centerwell Senior Primary Care Vitality Inc NPPES

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

CENTERWELL SENIOR PRIMARY CARE VITALITY INC (NPI 1154293108) is a healthcare organization registered as an internal medicine in The Villages, Florida and active in the NPI registry since September 2025. The organization holds 2 active CLIA laboratory certificates and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1154293108
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE VITALITY INC
Location Address779 KRISTINE WAYThe Villages, FL 32163-0099
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (407) 447-7120
Phone(352) 674-6020
Fax(352) 674-6030
Organization SubpartYes
Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateSeptember 19, 2025
NPPES CertifiedSeptember 19, 2025
✔ NPI 1154293108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 ListedGeneral PracticeTaxonomy 208D00000X
779 KRISTINE WAY, The Villages, FL 32163
Open in Google Maps ↗

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 Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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 10D2224285

Centerwell Senior Primary Care (vitality), Inc Dba Centerwell Senior Primary Care · The Villages, FL
Active · expires May 11, 2027
CLIA Number10D2224285
Laboratory TypePhysician Office
Certificate Effective DateMay 12, 2025
Certificate Expiration DateMay 11, 2027
Laboratory DirectorGreg Jun
Laboratory Phone(352) 674-6020
Laboratory LocationCenterwell Senior Primary Care (vitality), Inc Dba Centerwell Senior Primary Care779 Kristine Way, The Villages, FL 32163
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2052051

Centerwell Senior Primary Care (vitality), Inc Dba Centerwell Senior Primary Care · The Villages, FL
Active · expires Jan 3, 2027
CLIA Number10D2052051
Laboratory TypePhysician Office
Certificate Effective DateJanuary 4, 2025
Certificate Expiration DateJanuary 3, 2027
Laboratory DirectorJulie Sudduth
Laboratory Phone(352) 674-8819
Laboratory LocationCenterwell Senior Primary Care (vitality), Inc Dba Centerwell Senior Primary Care2485 Pinellas Place, The Villages, FL 32163
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 19

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

UJJWALA JAIN MD
Internal Medicine
779 KRISTINE WAY
THE VILLAGES, FL 32163
Sumter County (844) 884-9355
GREG J JUN MD
Internal Medicine
779 KRISTINE WAY
THE VILLAGES, FL 32163
Sumter County (352) 674-6020
LACEY MYERS APRN
Nurse Practitioner (Family)
779 KRISTINE WAY
THE VILLAGES, FL 32163
Sumter County (844) 884-9355
JANAKI CHAMPIKA SAMARAWEERA MD
Family Medicine
779 KRISTINE WAY
THE VILLAGES, FL 32163
Sumter County (844) 884-9355
BROOKE A THERMIDOR DO
Family Medicine
779 KRISTINE WAY
THE VILLAGES, FL 32163
Sumter County (844) 884-9355
JOANNE KITSON MD
Internal Medicine
779 KRISTINE WAY
THE VILLAGES, FL 32163
Sumter County (844) 884-9355
SWATI JOSHI D.O
Internal Medicine
779 KRISTINE WAY
THE VILLAGES, FL 32163
Sumter County (844) 884-9355
ALYSSA LYNN MCALISTER DNP
Nurse Practitioner
779 KRISTINE WAY
THE VILLAGES, FL 32163
Sumter County (844) 884-9355

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 Centerwell Senior Primary Care Vitality Inc's NPI number?

The NPI number for Centerwell Senior Primary Care Vitality Inc is 1154293108. It was assigned to this organization in the NPPES registry on September 19, 2025.

Where is Centerwell Senior Primary Care Vitality Inc located?

Centerwell Senior Primary Care Vitality Inc is located at 779 Kristine Way, The Villages, FL 32163. The listed phone number is (352) 674-6020.

What is Centerwell Senior Primary Care Vitality Inc's specialty?

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

Does Centerwell Senior Primary Care Vitality Inc 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.

What insurance does Centerwell Senior Primary Care Vitality Inc accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Centerwell Senior Primary Care Vitality 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 Centerwell Senior Primary Care Vitality Inc was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.