SUMTER PEDIATRICS PA
NPI 1174924757
Clinic/Center - Rural Health in Sumterville, FL

Active since September 15, 2014CLIA 10D2084869 · Waiver
617 S US 301 STE B, SUMTERVILLE, FL 33585(352) 569-4980(352) 569-4981 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sumter Pediatrics Pa NPPES

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

SUMTER PEDIATRICS PA (NPI 1174924757) is a healthcare organization registered as a rural health in Sumterville, Florida and active in the NPI registry since September 2014. The organization holds a CLIA Waiver certificate valid through October 1, 2026 and lists Mohammad Afzal, Doctor, as its authorized official.

NPPES Registry Identity

NPI1174924757
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSUMTER PEDIATRICS PA
Location Address617 S US 301 STE BSumterville, FL 33585-5355
Mailing Address617 S Us 301 Ste BSumterville, FL 33585-5355 · (352) 569-4980 · Fax (352) 569-4981
Fax(352) 569-4981
Organization SubpartNo
Authorized OfficialMohammad AfzalDoctor · (352) 394-3929
Enumeration DateSeptember 15, 2014
Last NPPES UpdateJanuary 22, 2025
NPPES CertifiedJanuary 22, 2025
NPI 1174924757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License Licensed in FL · ME72542
Also ListedPediatricsTaxonomy 208000000X · License ME72542 (FL)
617 S US 301 STE B, Sumterville, FL 33585

Other Identifiers 1

Medicaid014683500FL

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 SINGLE SPECIALTY GROUP

Accepted Insurance

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 10D2084869

Sumter Pediatrics · Sumterville, FL
Active · expires Oct 1, 2026
CLIA Number10D2084869
Laboratory TypePhysician Office
Certificate Effective DateOctober 2, 2024
Certificate Expiration DateOctober 1, 2026
Laboratory DirectorMohammad Afzal
Laboratory Phone(352) 569-4980
Laboratory LocationSumter Pediatrics617 S Us Hwy 301 Ste B, Sumterville, FL 33585
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Physician Assistant
617 S US 301 STE B
SUMTERVILLE, FL 33585
Clinic/Center (Primary Care)
617 S US 301 STE B
SUMTERVILLE, FL 33585

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 Sumter Pediatrics PA's NPI number?

The NPI number for Sumter Pediatrics PA is 1174924757. It was assigned to this organization in the NPPES registry on September 15, 2014.

Where is Sumter Pediatrics PA located?

Sumter Pediatrics PA is located at 617 S Us 301 Ste B, Sumterville, FL 33585. The listed phone number is (352) 569-4980.

What is Sumter Pediatrics PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Sumter Pediatrics PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2084869) is associated with this NPI, valid through October 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sumter Pediatrics PA accept?

Health plans from UnitedHealthcare list Sumter Pediatrics PA 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 Sumter Pediatrics PA was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.