KEY WEST HMA PHYSICIAN MANAGEMENT LLC
NPI 1255909867
Obstetrics & Gynecology in Key West, FL

Active since June 11, 2021CLIA 10D1056431 · Waiver
1111 12TH ST STE 104, KEY WEST, FL 33040(305) 293-1830(305) 293-2937 Get Directions Write a Review

NPPES record last updated: March 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Key West Hma Physician Management Llc NPPES

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

KEY WEST HMA PHYSICIAN MANAGEMENT LLC (NPI 1255909867) is a healthcare organization registered as an obstetrics & gynecology in Key West, Florida and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through July 16, 2028 and lists Jennifer L Jackson, Sr Dir Prov Enrollment & Onboarding, as its authorized official.

NPPES Registry Identity

NPI1255909867
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameKEY WEST HMA PHYSICIAN MANAGEMENT LLC
Location Address1111 12TH ST STE 104Key West, FL 33040-4084
Mailing AddressPo Box 689022Franklin, TN 37068-9022 · (615) 465-7211 · Fax (615) 628-6877
Fax(305) 293-2937
Organization SubpartNo
Authorized OfficialJennifer L JacksonSr Dir Prov Enrollment & Onboarding · (615) 465-3334
Enumeration DateJune 11, 2021
Last NPPES UpdateMarch 16, 2022
NPPES CertifiedMarch 16, 2022
NPI 1255909867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X
1111 12TH ST STE 104, Key West, FL 33040

Other Names 2

Doing Business AsKey West Hma Physician Management Llc
Doing Business AsKeys Medical Group

Other Identifiers 1

Medicaid272815001FL

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 10D1056431

Key West Hma Physicians Management LLC Keys Medical Group · Key West, FL
Active · expires Jul 16, 2028
CLIA Number10D1056431
Laboratory TypePhysician Office
Certificate Effective DateJuly 17, 2026
Certificate Expiration DateJuly 16, 2028
Laboratory DirectorStanley Santiago
Laboratory Phone(305) 293-1830
Laboratory LocationKey West Hma Physicians Management LLC Keys Medical Group1111 12th St Ste 104, Key West, FL 33040
CLIA data matches this NPI record on: Address Name Phone
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.

Obstetrics & Gynecology
1111 12TH ST STE 104
KEY WEST, FL 33040

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 Key West Hma Physician Management LLC's NPI number?

The NPI number for Key West Hma Physician Management LLC is 1255909867. It was assigned to this organization in the NPPES registry on June 11, 2021. The provider is doing business as Keys Medical Group.

Where is Key West Hma Physician Management LLC located?

Key West Hma Physician Management LLC is located at 1111 12th St Ste 104, Key West, FL 33040. The listed phone number is (305) 293-1830.

What is Key West Hma Physician Management LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Key West Hma Physician Management LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1056431) is associated with this NPI, valid through July 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Key West Hma Physician Management LLC was last updated on March 16, 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.