MILLENNIUM PHYSICIAN GROUP LLC
NPI 1215690276
Family Medicine in Marco Island, FL

Active since October 18, 2021CLIA Certified · 2 labs
606 BALD EAGLE DR STE 302, MARCO ISLAND, FL 34145(239) 393-2200(239) 393-2201 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 18, 2023, Oct 18, 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 1215690276) is a healthcare organization registered as a family medicine in Marco Island, Florida and active in the NPI registry since October 2021. The organization holds 2 active CLIA laboratory certificates and lists Mary Haltigan, Director Of Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1215690276
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMILLENNIUM PHYSICIAN GROUP LLC
Location Address606 BALD EAGLE DR STE 302Marco Island, FL 34145-2766
Mailing Address2675 Winkler Ave Fl 2Fort Myers, FL 33901-9342 · (877) 856-3774 · Fax (239) 599-2612
Fax(239) 393-2201
Organization SubpartNo
Authorized OfficialMary HaltiganDirector Of Revenue Cycle · (877) 856-3774
Enumeration DateOctober 18, 2021
Last NPPES UpdateJanuary 18, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2023
NPI 1215690276 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.

606 BALD EAGLE DR STE 302, Marco Island, FL 34145

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

CLIA Laboratory Certificates CMS CLIA 2

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 10D2058192

Millennium Physician Group · Marco Island, FL
Active · expires Apr 30, 2027
CLIA Number10D2058192
Laboratory TypePhysician Office
Certificate Effective DateMay 1, 2025
Certificate Expiration DateApril 30, 2027
Laboratory DirectorPatricia Poling
Laboratory Phone(941) 764-1880
Laboratory LocationMillennium Physician Group606 Bald Eagle Dr Ste 302, Marco Island, FL 34145
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2125542

Millennium Physician Group · Marco Island, FL
Active · expires Feb 8, 2027
CLIA Number10D2125542
Laboratory TypePhysician Office
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorRobert Poling
Laboratory Phone(941) 764-1880
Laboratory LocationMillennium Physician Group975 N Collier Blvd, Marco Island, FL 34145
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.

Family Medicine
606 BALD EAGLE DR STE 302
MARCO ISLAND, FL 34145
Nurse Practitioner (Family)
606 BALD EAGLE DR STE 302
MARCO ISLAND, FL 34145
Nurse Practitioner
606 BALD EAGLE DR STE 302
MARCO ISLAND, FL 34145

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 1215690276. It was assigned to this organization in the NPPES registry on October 18, 2021.

Where is Millennium Physician Group LLC located?

Millennium Physician Group LLC is located at 606 Bald Eagle Dr Ste 302, Marco Island, FL 34145. The listed phone number is (239) 393-2200.

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. 2 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 with the weekly NPPES data releases published by CMS.