GULFCOAST HEALTHCARE GROUP LLC
NPI 1215788229
Family Medicine in Cape Coral, FL

Active since March 28, 2024
2721 DEL PRADO BLVD S STE 250, CAPE CORAL, FL 33904(239) 574-5559(239) 574-9454 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Gulfcoast Healthcare Group Llc NPPES

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

GULFCOAST HEALTHCARE GROUP LLC (NPI 1215788229) is a healthcare organization registered as a family medicine in Cape Coral, Florida and active in the NPI registry since March 2024. The organization lists Larry Dean Johnson, President, as its authorized official.

NPPES Registry Identity

NPI1215788229
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGULFCOAST HEALTHCARE GROUP LLC
Location Address2721 DEL PRADO BLVD S STE 250Cape Coral, FL 33904-5710
Mailing Address2721 Del Prado Blvd S Ste 250Cape Coral, FL 33904-5710 · (239) 574-5559 · Fax (239) 574-9454
Fax(239) 574-9454
Organization SubpartNo
Authorized OfficialLarry Dean JohnsonPresident · (239) 574-5559
Enumeration DateMarch 28, 2024
Last NPPES UpdateApril 5, 2024
NPPES CertifiedApril 5, 2024
✔ NPI 1215788229 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.
2721 DEL PRADO BLVD S STE 250, Cape Coral, FL 33904

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gulfcoast Healthcare Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Gulfcoast Healthcare 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)

Emergency Medicine
NPI 1174636724
2776 CLEVELAND AVE
Fort Myers, FL 33901
(239) 343-2606
✔ PECOS✔ Accepts Medicare4.5 mi
Emergency Medicine
NPI 1326338591
2776 CLEVELAND AVE
Fort Myers, FL 33901
(239) 343-2606
✔ PECOS✔ Accepts Medicare4.5 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 Gulfcoast Healthcare Group LLC's NPI number?

The NPI number for Gulfcoast Healthcare Group LLC is 1215788229. It was assigned to this organization in the NPPES registry on March 28, 2024.

Where is Gulfcoast Healthcare Group LLC located?

Gulfcoast Healthcare Group LLC is located at 2721 Del Prado Blvd S Ste 250, Cape Coral, FL 33904. The listed phone number is (239) 574-5559.

What is Gulfcoast Healthcare Group LLC's specialty?

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

Is Gulfcoast Healthcare Group LLC enrolled in Medicare?

Yes. Gulfcoast Healthcare Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gulfcoast Healthcare Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Emergency Medicine, reassign their Medicare billing to Gulfcoast Healthcare 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.

When was this NPI record last updated?

The NPPES record for Gulfcoast Healthcare Group LLC was last updated on April 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.