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LAKELAND PHYSICIANS GROUP LLC
NPI 1174564553
Family Medicine in Lakeland, FL

Active since June 09, 2006
517 BUENA VISTA ST., LAKELAND, FL 33805(863) 688-3674(863) 616-9902 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lakeland Physicians Group Llc NPPES

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

LAKELAND PHYSICIANS GROUP LLC (NPI 1174564553) is a healthcare organization registered as a family medicine in Lakeland, Florida and active in the NPI registry since June 2006. The organization lists Stephen Philip Nimbargi, Owner, as its authorized official.

NPPES Registry Identity

NPI1174564553
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLAKELAND PHYSICIANS GROUP LLC
Location Address517 BUENA VISTA ST.Lakeland, FL 33805
Mailing AddressPo Box 150038Altamonte Springs, FL 32715-0038 · (407) 782-3702 · Fax (863) 648-9520
Phone(863) 688-3674
Fax(863) 616-9902
Organization SubpartNo
Authorized OfficialStephen Philip NimbargiOwner · (407) 782-3702
Enumeration DateJune 9, 2006
Last NPPES UpdateDecember 3, 2024
✔ NPI 1174564553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedSpecialistTaxonomy 174400000X · License ME85807 (FL), ME92618 (FL)
Also ListedInternal MedicineTaxonomy 207R00000X
517 BUENA VISTA ST., Lakeland, FL 33805
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Other Identifiers 6

Medicaid275444400FL
Other72117FL · Bcbs
OtherDG9369FL · Railroad Medicare
Other113345FL · Amerigroup
Medicaid265742201FL
Other5324701FL · Aetna

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lakeland Physicians Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Lakeland Physicians Group LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Stephen Nimbargi, MD
General Practice
NPI 1811955362
321 MAITLAND AVE STE 1000
Altamonte Springs, FL 32701
(407) 331-6236
✔ PECOS✔ Accepts Medicare55 mi
Viola Jacob, MD
Internal Medicine
NPI 1972597193
1451 HAVEN DR
Oviedo, FL 32765
(239) 444-8185
✔ PECOS✔ Accepts Medicare60 mi

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

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 Lakeland Physicians Group LLC's NPI number?

The NPI number for Lakeland Physicians Group LLC is 1174564553. It was assigned to this organization in the NPPES registry on June 9, 2006.

Where is Lakeland Physicians Group LLC located?

Lakeland Physicians Group LLC is located at 517 Buena Vista St., Lakeland, FL 33805. The listed phone number is (863) 688-3674.

What is Lakeland Physicians Group LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lakeland Physicians Group LLC enrolled in Medicare?

Yes. Lakeland Physicians Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lakeland Physicians Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Lakeland Physicians Group LLC, in General Practice and Internal Medicine. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lakeland Physicians Group LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Lakeland Physicians Group LLC 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 Lakeland Physicians Group LLC was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.