1. Home
  2. Directory
  3. Florida
  4. Lake Placid
  5. Family Medicine
  6. NPI Profile

FAMILY MEDICAL GROUP PA
NPI 1215099007
Family Medicine in Lake Placid, FL

Active since December 15, 2006
113 HEALTH WAY, LAKE PLACID, FL 33852(863) 465-7010 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Family Medical Group Pa NPPES

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

FAMILY MEDICAL GROUP PA (NPI 1215099007) is a healthcare organization registered as a family medicine in Lake Placid, Florida and active in the NPI registry since December 2006. The organization lists Joanne E Stayton, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1215099007
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAMILY MEDICAL GROUP PA
Location Address113 HEALTH WAYLake Placid, FL 33852-8123
Mailing Address113 Health WayLake Placid, FL 33852-8123 · (863) 465-7010
Phone(863) 465-7010
Organization SubpartYes
Authorized OfficialJoanne E StaytonPractice Administrator · (863) 465-7010
Enumeration DateDecember 15, 2006
Last NPPES UpdateMay 24, 2021
NPPES CertifiedMay 11, 2021
✔ NPI 1215099007 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.
113 HEALTH WAY, Lake Placid, FL 33852
Open in Google Maps ↗

Other Identifiers 4

Medicaid660046800FL
Medicaid660219300FL
Other45269FL · Bcbsfl
Medicaid660129400FL

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

Other Providers at the Same Location NPPES 3

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

NICOLE RAE LORDEN APRN, FNP-C
Nurse Practitioner (Family)
113 HEALTH WAY
LAKE PLACID, FL 33852
Highlands County (863) 465-7010
ANDREA A WALKER APRN-BC
Nurse Practitioner (Family)
113 HEALTH WAY
LAKE PLACID, FL 33852
Highlands County (863) 465-7010
WILFREDO CORREDERA M.D.
Family Medicine
113 HEALTH WAY
LAKE PLACID, FL 33852
Highlands County (634) 657-0108

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 Family Medical Group PA's NPI number?

The NPI number for Family Medical Group PA is 1215099007. It was assigned to this organization in the NPPES registry on December 15, 2006.

Where is Family Medical Group PA located?

Family Medical Group PA is located at 113 Health Way, Lake Placid, FL 33852. The listed phone number is (863) 465-7010.

What is Family Medical Group PA's specialty?

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

When was this NPI record last updated?

The NPPES record for Family Medical Group PA was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.