1. Home
  2. Directory
  3. Florida
  4. Naples
  5. Internal Medicine
  6. NPI Profile

COLLIER HMA PHYSICIAN MANAGEMENT LLC
NPI 1194393959
Internal Medicine in Naples, FL

Active since June 16, 2021CLIA 10D2169351 · Waiver
4525 THOMASSON DR STE 104, NAPLES, FL 34112(239) 348-4221(239) 348-4203 Get Directions Write a Review

NPPES record last updated: March 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 8, 2022, Jun 16, 2021 (2 updates tracked since 2021).

About Collier Hma Physician Management Llc NPPES

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

COLLIER HMA PHYSICIAN MANAGEMENT LLC (NPI 1194393959) is a healthcare organization registered as an internal medicine in Naples, Florida and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through July 17, 2027 and lists Jennifer L Jackson, Sr Dir Prov Enrollment & Onboarding, as its authorized official.

NPPES Registry Identity

NPI1194393959
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCOLLIER HMA PHYSICIAN MANAGEMENT LLC
Location Address4525 THOMASSON DR STE 104Naples, FL 34112-6963
Mailing AddressPo Box 689022Franklin, TN 37068-9022 · (615) 465-7211 · Fax (615) 628-6877
Phone(239) 348-4221
Fax(239) 348-4203
Organization SubpartNo
Authorized OfficialJennifer L JacksonSr Dir Prov Enrollment & Onboarding · (615) 465-3334
Enumeration DateJune 16, 2021
Last NPPES UpdateMarch 8, 20222 updates tracked since enumeration
NPPES CertifiedMarch 8, 2022
✔ NPI 1194393959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
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.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
4525 THOMASSON DR STE 104, Naples, FL 34112
Open in Google Maps ↗

Other Names 1

Doing Business AsCollier Hma Physician Management Llc

Other Identifiers 1

MedicaidPENDINGFL

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 MULTIPLE SINGLE SPECIALTY GROUP

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 10D2169351

Collier Hma Physician Management, LLC · Naples, FL
Active · expires Jul 17, 2027
CLIA Number10D2169351
Laboratory TypePhysician Office
Certificate Effective DateJuly 18, 2025
Certificate Expiration DateJuly 17, 2027
Laboratory DirectorCrina Crisan
Laboratory Phone(239) 354-6500
Laboratory LocationCollier Hma Physician Management, LLC4525 Thomasson Drive Suite 104, Naples, FL 34112
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

COLLIER BOULEVARD HMA PHYSICIAN MANAGEMENT LLC
Family Medicine
4525 THOMASSON DR STE 104
NAPLES, FL 34112
Collier County (239) 348-4221

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 Collier Hma Physician Management LLC's NPI number?

The NPI number for Collier Hma Physician Management LLC is 1194393959. It was assigned to this organization in the NPPES registry on June 16, 2021.

Where is Collier Hma Physician Management LLC located?

Collier Hma Physician Management LLC is located at 4525 Thomasson Dr Ste 104, Naples, FL 34112. The listed phone number is (239) 348-4221.

What is Collier Hma Physician Management LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Collier Hma Physician Management LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2169351) is associated with this NPI, valid through July 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Collier Hma Physician Management LLC was last updated on March 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.