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LAKE CITY REGIONAL MEDICAL GROUP LLC
NPI 1184910036
Family Medicine in Lake City, FL

Active since June 20, 2011
4225 NW AMERICAN LN, LAKE CITY, FL 32055(386) 758-6141(386) 758-6140 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lake City Regional Medical Group Llc NPPES

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

LAKE CITY REGIONAL MEDICAL GROUP LLC (NPI 1184910036) is a healthcare organization registered as a family medicine in Lake City, Florida and active in the NPI registry since June 2011. The organization lists John Mark Rodkey, Vice President, as its authorized official.

NPPES Registry Identity

NPI1184910036
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLAKE CITY REGIONAL MEDICAL GROUP LLC
Location Address4225 NW AMERICAN LNLake City, FL 32055-8841
Mailing Address2000 Health Park DrBrentwood, TN 37027-4692 · (615) 373-7406 · Fax (866) 831-4898
Phone(386) 758-6141
Fax(386) 758-6140
Organization SubpartNo
Authorized OfficialJohn Mark RodkeyVice President · (850) 523-3816
Enumeration DateJune 20, 2011
Last NPPES UpdateOctober 21, 2025
NPPES CertifiedOctober 21, 2025
✔ NPI 1184910036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
4225 NW AMERICAN LN, Lake City, FL 32055
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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 Ambetter Health, Ambetter of Alabama, AvMed and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lake City Regional Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20111025000347Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Lake City Regional Medical Group LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Valerie Vazquez, MD
General Surgery
NPI 1013450477
2970 W US HIGHWAY 90 STE 110
Lake City, FL 32055
(386) 247-6910
✔ PECOS✔ Accepts Medicare1.5 mi
Yi Wang
General Surgery
NPI 1417290248
2970 W US HIGHWAY 90 STE 110
Lake City, FL 32055
(386) 247-6915
✔ PECOS✔ Accepts Medicare1.5 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 Lake City Regional Medical Group LLC's NPI number?

The NPI number for Lake City Regional Medical Group LLC is 1184910036. It was assigned to this organization in the NPPES registry on June 20, 2011.

Where is Lake City Regional Medical Group LLC located?

Lake City Regional Medical Group LLC is located at 4225 NW American Ln, Lake City, FL 32055. The listed phone number is (386) 758-6141.

What is Lake City Regional Medical Group LLC's specialty?

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

Is Lake City Regional Medical Group LLC enrolled in Medicare?

Yes. Lake City Regional Medical Group LLC is registered in the Medicare PECOS enrollment system.

When is Lake City Regional Medical Group LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Lake City Regional Medical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in General Surgery, reassign their Medicare billing to Lake City Regional Medical Group 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lake City Regional Medical Group LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Lake City Regional Medical 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 Lake City Regional Medical Group LLC was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.