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MILLENNIUM PHYSICIAN GROUP LLC
NPI 1215609961
Family Medicine in Naples, FL

Active since October 01, 2021CLIA Certified · 5 labs
6101 PINE RIDGE RD FL 3, NAPLES, FL 34119(239) 649-3312(239) 430-5598 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 18, 2023, Oct 1, 2021 (2 updates tracked since 2021).

About Millennium Physician Group Llc NPPES

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

MILLENNIUM PHYSICIAN GROUP LLC (NPI 1215609961) is a healthcare organization registered as a family medicine in Naples, Florida and active in the NPI registry since October 2021. The organization holds 5 active CLIA laboratory certificates and lists Mary Haltigan, Director Of Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1215609961
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMILLENNIUM PHYSICIAN GROUP LLC
Location Address6101 PINE RIDGE RD FL 3Naples, FL 34119-3900
Mailing Address2675 Winkler Ave Fl 2Fort Myers, FL 33901-9342 · (877) 856-3774 · Fax (239) 599-2612
Phone(239) 649-3312
Fax(239) 430-5598
Organization SubpartNo
Authorized OfficialMary HaltiganDirector Of Revenue Cycle · (877) 856-3774
Enumeration DateOctober 1, 2021
Last NPPES UpdateJanuary 18, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2023
✔ NPI 1215609961 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.
6101 PINE RIDGE RD FL 3, Naples, FL 34119
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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 Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA 5

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 10D2344492

Millennium Physician Group, LLC · Naples, FL
Active · expires May 21, 2028
CLIA Number10D2344492
Laboratory TypePhysician Office
Certificate Effective DateMay 22, 2026
Certificate Expiration DateMay 21, 2028
Laboratory DirectorPaul Hemrick
Laboratory Phone(941) 787-7665
Laboratory LocationMillennium Physician Group, LLC8855 Immokalee Rd Unit 13, Naples, FL 34120
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2241150

Millennium Physician Group, LLC · Naples, FL
Active · expires Oct 25, 2027
CLIA Number10D2241150
Laboratory TypePhysician Office
Certificate Effective DateOctober 26, 2025
Certificate Expiration DateOctober 25, 2027
Laboratory DirectorSadiq Al-Nakeeb
Laboratory Phone(941) 787-7665
Laboratory LocationMillennium Physician Group, LLC6376 Pine Ridge Rd - Ste 440, Naples, FL 34119
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2132691

Millennium Physician Group - Home Visit · Naples, FL
Active · expires Jun 26, 2027
CLIA Number10D2132691
Laboratory TypePhysician Office
Certificate Effective DateJune 27, 2025
Certificate Expiration DateJune 26, 2027
Laboratory DirectorAlejandro Perez-Trepichio
Laboratory Phone(855) 677-7400
Laboratory LocationMillennium Physician Group - Home Visit1250 Tamiami Trail Ste 304, Naples, FL 34104
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2274384

Millennium Physician Group, LLC · Naples, FL
Active · expires Jan 3, 2027
CLIA Number10D2274384
Laboratory TypePhysician Office
Certificate Effective DateJanuary 4, 2025
Certificate Expiration DateJanuary 3, 2027
Laboratory DirectorDavid White
Laboratory Phone(941) 787-7665
Laboratory LocationMillennium Physician Group, LLC860 111th Ave N, Naples, FL 34108
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2120544

Millennium Physician Group, LLC · Naples, FL
Active · expires Oct 18, 2026
CLIA Number10D2120544
Laboratory TypePhysician Office
Certificate Effective DateOctober 19, 2024
Certificate Expiration DateOctober 18, 2026
Laboratory DirectorSocrates Perez Rodriguez
Laboratory Phone(941) 787-7665
Laboratory LocationMillennium Physician Group, LLC860 111th Ave N Ste 3, Naples, FL 34108
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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.

ADVANCED CRITICAL CARE LUNG AND SLEEP, LLC
Internal Medicine (Pulmonary Disease)
6101 PINE RIDGE RD FL 3
NAPLES, FL 34119
Collier County (239) 920-4446
LAUREN BOND
Nurse Practitioner (Family)
6101 PINE RIDGE RD FL 3
NAPLES, FL 34119
Collier County (239) 315-7123
ISMAEL MARTIN DO
Internal Medicine (Pulmonary Disease)
6101 PINE RIDGE RD FL 3
NAPLES, FL 34119
Collier County (239) 315-7123

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 Millennium Physician Group LLC's NPI number?

The NPI number for Millennium Physician Group LLC is 1215609961. It was assigned to this organization in the NPPES registry on October 1, 2021.

Where is Millennium Physician Group LLC located?

Millennium Physician Group LLC is located at 6101 Pine Ridge Rd Fl 3, Naples, FL 34119. The listed phone number is (239) 649-3312.

What is Millennium Physician Group LLC's specialty?

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

Does Millennium Physician Group LLC hold CLIA laboratory certificates?

Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Millennium Physician Group LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Millennium Physician 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 Millennium Physician Group LLC was last updated on January 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.