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PHYSICIANS REGIONAL MEDICAL GROUP
NPI 1164090874
Pain Medicine - Pain Medicine in Estero, FL

Active since June 17, 2021CLIA 10D1100832 · Waiver
24231 WALDEN CENTER DR STE 201, ESTERO, FL 34134(239) 348-4420(239) 390-2486 Get Directions Write a Review

NPPES record last updated: March 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 8, 2022, Jun 17, 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 1164090874) is a healthcare organization registered as a pain medicine in Estero, Florida and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through June 11, 2027 and lists Jennifer L Jackson, Sr Dir Prov Enrollment & Onboarding, as its authorized official.

NPPES Registry Identity

NPI1164090874
Entity TypeOrganization
Primary Taxonomy208VP0000X
Legal Business NameCOLLIER HMA PHYSICIAN MANAGEMENT LLC
Location Address24231 WALDEN CENTER DR STE 201Estero, FL 34134-5012
Mailing AddressPo Box 689022Franklin, TN 37068-9022 · (615) 465-7211 · Fax (615) 628-6877
Phone(239) 348-4420
Fax(239) 390-2486
Organization SubpartNo
Authorized OfficialJennifer L JacksonSr Dir Prov Enrollment & Onboarding · (615) 465-3334
Enumeration DateJune 17, 2021
Last NPPES UpdateMarch 8, 20222 updates tracked since enumeration
NPPES CertifiedMarch 8, 2022
✔ NPI 1164090874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0000X
Definition
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
24231 WALDEN CENTER DR STE 201, Estero, FL 34134
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Other Names 2

Doing Business AsPhysicians Regional Medical Group
Doing Business AsCollier Hma Physician Management Llc

Other Identifiers 1

Medicaid275883117FL

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 10D1100832

Collier Hma Physician Management LLC · Bonita Springs, FL
Active · expires Jun 11, 2027
CLIA Number10D1100832
Laboratory TypePhysician Office
Certificate Effective DateJune 12, 2025
Certificate Expiration DateJune 11, 2027
Laboratory DirectorRodolfo Fernandez
Laboratory Phone(239) 354-4590
Laboratory LocationCollier Hma Physician Management LLC24231 Walden Center Dr Ste 100, Bonita Springs, FL 34134
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 8

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

MRS. SHERRI LYNN HIRSCH-APARICIO M.T.
Massage Therapist
24231 WALDEN CENTER DR STE 201
BONITA SPRINGS, FL 34134
Lee County (239) 390-2174
COLLIER BOULEVARD HMA PHYSICIAN MANAGEMENT LLC
Orthopaedic Surgery
24231 WALDEN CENTER DR STE 201
BONITA SPRINGS, FL 34134
Lee County (239) 348-4221
SCOTT M. GREENBERG DO
Orthopaedic Surgery
24231 WALDEN CENTER DR STE 201
ESTERO, FL 34134
Lee County (239) 348-4221
DR. ROBERT THOMAS O'LEARY DO
Physical Medicine & Rehabilitation (Pain Medicine)
24231 WALDEN CENTER DR STE 201
ESTERO, FL 34134
Lee County (239) 348-4221
DR. ALDO R BERETTA MD
Orthopaedic Surgery
24231 WALDEN CENTER DR STE 201
BONITA SPRINGS, FL 34134
Lee County (239) 390-2174
LAUREN J HARIHARAN PA-C
Physician Assistant
24231 WALDEN CENTER DR STE 201
ESTERO, FL 34134
Lee County (239) 348-4221
ORTHOPEDIC SPECIALTY CARE CENTER PA
Specialist
24231 WALDEN CENTER DR STE 201
BONITA SPRINGS, FL 34134
Lee County (239) 390-2174
TERI JO SANFORD APRN
Nurse Practitioner (Family)
24231 WALDEN CENTER DR STE 201
ESTERO, FL 34134
Lee County (239) 348-4221

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 1164090874. It was assigned to this organization in the NPPES registry on June 17, 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 24231 Walden Center Dr Ste 201, Estero, FL 34134. The listed phone number is (239) 348-4420.

What is Collier Hma Physician Management LLC's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Does Collier Hma Physician Management LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1100832) is associated with this NPI, valid through June 11, 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.