OLD RIVER PHYSICIAN SERVICES, LLC
NPI 1184561607
Internal Medicine in Milton, FL
About Old River Physician Services, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OLD RIVER PHYSICIAN SERVICES, LLC (NPI 1184561607) is a healthcare organization registered as an internal medicine in Milton, Florida and active in the NPI registry since May 2026. The organization lists Lisha C Falk, Vice President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Old River Physician Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Old River Physician Services, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (11)
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 Old River Physician Services, LLC's NPI number?
The NPI number for Old River Physician Services, LLC is 1184561607. It was assigned to this organization in the NPPES registry on May 1, 2026.
Where is Old River Physician Services, LLC located?
Old River Physician Services, LLC is located at 6002 Berryhill Rd, Milton, FL 32570. The listed phone number is (850) 626-7762.
What is Old River Physician Services, LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Old River Physician Services, LLC enrolled in Medicare?
Yes. Old River Physician Services, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Old River Physician Services, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Old River Physician Services, LLC. 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. The largest specialties are Nurse Practitioner (5), Internal Medicine (4) and Emergency Medicine (2). Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Old River Physician Services, LLC was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Old River Physician Services, Llc · NPI 1184561607
Internal Medicine organization in Milton, Florida. Organization record, active in the CMS NPPES registry since May 1, 2026.
## Identity
- **NPI:** 1184561607 (Entity type: Organization)
- **Enumerated:** May 1, 2026
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Lisha Falk, VICE PRESIDENT
## Practice location
- **Address:** 6002 BERRYHILL RD, Milton, FL 32570-5062
- **Phone:** (850) 626-7762 · **Fax:** (850) 623-5083
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Internal Medicine (4), Emergency Medicine (2); 1 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 1, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1184561607) · Data from the CMS NPPES public registry.