ADVENTHEALTH MEDICAL GROUP OB GYN AT SEBRING
NPI 1164698809
Internal Medicine in Sebring, FL

NPI Status: Active since May 02, 2008

Contact Information

4200 SUN N LAKE BLVD
SEBRING, FL
ZIP 33872
Phone: (863) 402-3366
Fax: (863) 402-3110

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  • Organization
  • Internal Medicine
  • Accepts Insurance
  • CLIA Number: 10D2321196
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-31-2027

About ADVENTHEALTH MEDICAL GROUP OB GYN AT SEBRING

This page provides the complete NPI Profile along with additional information for Adventhealth Medical Group Ob Gyn At Sebring, an internist established in Sebring, Florida operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1164698809 assigned on May 2008. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Adventhealth Medical Group Ob Gyn At Sebring operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Adventhealth Medical Group Ob Gyn At Sebring. The authorized official of this NPI record is Nathan Thomason (Cfo)

NPI
1164698809
Provider Legal Name
ADVENTIST HEALTH SYSTEM-SUNBELT INC
Other Organization Name
ADVENTHEALTH MEDICAL GROUP OB GYN AT SEBRING
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4200 SUN N LAKE BLVD SEBRING, FL 33872
Location Phone
(863) 402-3366
Location Fax
(863) 402-3110
Mailing Address
4200 SUN N LAKE BLVD SEBRING, FL 33872
Mailing Phone
(863) 402-3366
Mailing Fax
(863) 402-3110
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-02-2008
Last Update Date
01-31-2023
Code Navigator

An internist like Adventhealth Medical Group Ob Gyn At Sebring is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 
2207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
3207RC0200XAllopathic & Osteopathic Physicians

Internal Medicine
Critical Care Medicine

 
4207RG0100XAllopathic & Osteopathic Physicians

Internal Medicine
Gastroenterology

 
5207RI0200XAllopathic & Osteopathic Physicians

Internal Medicine
Infectious Disease

 
6207RP1001XAllopathic & Osteopathic Physicians

Internal Medicine
Pulmonary Disease

 
7207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

 
8208000000XAllopathic & Osteopathic Physicians

Pediatrics

 
9208600000XAllopathic & Osteopathic Physicians

Surgery

 
102086S0129XAllopathic & Osteopathic Physicians

Surgery
Vascular Surgery

 
11208M00000XAllopathic & Osteopathic Physicians

Hospitalist

 
12363AM0700XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Medical

 
13363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

 
14363LX0001XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Obstetrics & Gynecology

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
  • BlueOptions Bronze 24J01-04 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-06 (Rewards) - PPO
  • BlueOptions Bronze 24J01-17 ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-18S ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Gold 24J01-09 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-12 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-20S ($30 PCP Visits / $60 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-05 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-08 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - PPO
  • BlueOptions Silver 24J01-03 ($10 Labs / Rewards) - PPO
  • BlueOptions Silver 24J01-07 ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Silver 24J01-19S ($40 PCP Visits / $80 Specialist Visits / Rewards) - PPO
  • BlueSelect Bronze (HSA) 1735 (Rewards / $4 Condition Care Rx) - EPO
  • BlueSelect Bronze 1449 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - EPO
  • BlueSelect Bronze 2139 ($50 PCP Visits / Rewards) - EPO
  • BlueSelect Bronze 2139E ($50 PCP Visits / Adult Dental & Vision / Rewards) - EPO
  • BlueSelect Bronze 2139V ($50 PCP Visits / Adult Vision / Rewards) - EPO
  • BlueSelect Bronze 2342S ($50 PCP Visits / Rewards) - EPO
  • BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
  • BlueCare Bronze 24K01-03 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K01-05 (Rewards) - POS
  • BlueCare Bronze 24K01-25 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K01-31S ($50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-17 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K02-18 (Rewards) - POS
  • BlueCare Bronze 24K02-23 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K02-26S ($50 PCP Visits / Rewards) - POS
  • BlueCare Gold 24K01-08 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - POS
  • BlueCare Gold 24K01-10 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) - POS
  • BlueCare Gold 24K01-33S ($30 PCP Visits / $60 Specialist Visits / Rewards) - POS
  • BlueCare Gold 24K02-20 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - POS
  • BlueCare Gold 24K02-28S ($30 PCP Visits / $60 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K01-04 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K01-07 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K02-15 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - POS
  • BlueCare Silver 24K01-02 ($10 Labs / Rewards) - POS
  • Molina Bronze Enhanced 3500 - HMO
  • Molina Bronze Enhanced 3500 Plus with Adult Dental and Vision - HMO
  • Molina Bronze Enhanced 3500 Plus with Adult Vision - HMO
  • Molina Bronze Premier with $0 Medical Deductible - HMO
  • Molina Bronze Premier with $0 Medical Deductible Plus with Adult Dental and Vision - HMO
  • Molina Bronze Premier with $0 Medical Deductible Plus with Adult Vision - HMO
  • Molina Bronze Standard - HMO
  • Molina Gold Core 1640 - HMO
  • Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
  • Molina Gold Core 1640 Plus with Adult Vision - HMO
  • Molina Gold Enhanced 895 - HMO
  • Molina Gold Enhanced 895 Plus with Adult Dental and Vision - HMO
  • Molina Gold Enhanced 895 Plus with Adult Vision - HMO
  • Molina Gold Standard - HMO
  • Molina Silver Access - HMO
  • Molina Silver Access Plus with Adult Dental and Vision - HMO
  • Molina Silver Access Plus with Adult Vision - HMO
  • Molina Silver Core - HMO
  • Molina Silver Core Plus with Adult Dental and Vision - HMO
  • Molina Silver Core Plus with Adult Vision - HMO
  • Wellpoint Essential Bronze 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze 5500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze 7500 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
  • Wellpoint Essential Catastrophic (+ Incentives) - HMO
  • Wellpoint Essential Gold 1400 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold 2000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
  • Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold 800 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 3500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 3500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

NATHAN THOMASON

Authorized Official Title
CFO
Authorized Official Phone
(863) 402-3366

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2321196
Facility Type
Physician Office
Certificate Effective Date
April 01, 2025
Certificate Expiration Date
March 31, 2027
Laboratory Director
HAVALEE HENRY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Adventhealth Medical Group Ob Gyn At Sebring to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1164698809, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
9
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
8
Unchanged
Pos 9
0
Doubled → 0
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 6 → 12 → 3 8 → 16 → 7 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 2 + 4 + 1 + 2 + 9 + 1 + 6 + 8 + 0 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1164698809.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Radiology (Diagnostic Radiology)
4200 SUN N LAKE BLVD
SEBRING, FL 33872
Physician Assistant (Medical)
4200 SUN N LAKE BLVD, EMERGENCY DEPARTMENT
SEBRING, FL 33872
Clinical Nurse Specialist (Medical-Surgical)
4200 SUN N LAKE BLVD
SEBRING, FL 33872
Radiology (Diagnostic Radiology)
4200 SUN N LAKE BLVD
SEBRING, FL 33872
Emergency Medicine
4200 SUN N LAKE BLVD
SEBRING, FL 33872
Emergency Medicine
4200 SUN N LAKE BLVD
SEBRING, FL 33872
Emergency Medicine
4200 SUN N LAKE BLVD
SEBRING, FL 33872
Emergency Medicine
4200 SUN N LAKE BLVD
SEBRING, FL 33872
Nurse Anesthetist, Certified Registered
4200 SUN N LAKE BLVD
SEBRING, FL 33872
Nurse Practitioner (Family)
4200 SUN N LAKE BLVD
SEBRING, FL 33872
Pathology (Anatomic Pathology & Clinical Pathology)
4200 SUN N LAKE BLVD
SEBRING, FL 33872
Pathology (Anatomic Pathology & Clinical Pathology)
4200 SUN N LAKE BLVD
SEBRING, FL 33872
Internal Medicine
4200 SUN N LAKE BLVD
SEBRING, FL 33872
Emergency Medicine
4200 SUN N LAKE BLVD
SEBRING, FL 33872
Pathology (Anatomic Pathology & Clinical Pathology)
4200 SUN N LAKE BLVD
SEBRING, FL 33872
Emergency Medicine
4200 SUN N LAKE BLVD
SEBRING, FL 33872
Emergency Medicine
4200 SUN N LAKE BLVD
SEBRING, FL 33872
Pediatrics (Neonatal-Perinatal Medicine)
4200 SUN N LAKE BLVD
SEBRING, FL 33872
Emergency Medicine
4200 SUN N LAKE BLVD
SEBRING, FL 33872
Internal Medicine (Critical Care Medicine)
4200 SUN N LAKE BLVD
SEBRING, FL 33872

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164698809, enumerated as an "organization" on May 02, 2008.

The provider is located at 4200 SUN N LAKE BLVD SEBRING, FL 33872 and the phone number is (863) 402-3366.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL), Florida. Please consult your insurance carrier or call the provider to verify.