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VERIMED HEALTH GROUP CLEARWATER, LLC
NPI 1265988752
Family Medicine in Clearwater, FL

Active since August 25, 2016
2515 COUNTRYSIDE BLVD STE H, CLEARWATER, FL 33763(727) 796-8600(813) 932-0266 Get Directions Write a Review

NPPES record last updated: September 26, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 26, 2022, Aug 25, 2016 (2 updates tracked since 2016).

About Verimed Health Group Clearwater, Llc NPPES

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

VERIMED HEALTH GROUP CLEARWATER, LLC (NPI 1265988752) is a healthcare organization registered as a family medicine in Clearwater, Florida and active in the NPI registry since August 2016. The organization lists Gina Perez, Administrator, as its authorized official.

NPPES Registry Identity

NPI1265988752
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameVERIMED HEALTH GROUP CLEARWATER, LLC
Location Address2515 COUNTRYSIDE BLVD STE HClearwater, FL 33763-1603
Mailing Address2515 Countryside Blvd Ste HClearwater, FL 33763-1603 · (727) 796-8600 · Fax (813) 932-0266
Phone(727) 796-8600
Fax(813) 932-0266
Organization SubpartNo
Authorized OfficialGina PerezAdministrator · (727) 796-8600
Enumeration DateAugust 25, 2016
Last NPPES UpdateSeptember 26, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2022
✔ NPI 1265988752 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.
2515 COUNTRYSIDE BLVD STE H, Clearwater, FL 33763
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Verimed Health Group Clearwater, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Verimed Health Group Clearwater, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Olivia Gillespie, D.O.
Osteopathic Manipulative Medicine
NPI 1700166675
2515 COUNTRYSIDE BLVD STE H
Clearwater, FL 33763
(727) 796-8600
✔ PECOS✔ Accepts MedicareSame address
Erin Butler, PRN
Nurse Practitioner
NPI 1043329956
1745 S HIGHLAND AVE
Clearwater, FL 33756
(727) 587-0537
✔ PECOS✔ Accepts Medicare5.9 mi
Charlene Dacosta, MD
General Practice
NPI 1306802905
10085 US HIGHWAY 19 STE GTE
Port Richey, FL 34668
(727) 810-8062
✔ PECOS✔ Accepts Medicare20 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 Verimed Health Group Clearwater, LLC's NPI number?

The NPI number for Verimed Health Group Clearwater, LLC is 1265988752. It was assigned to this organization in the NPPES registry on August 25, 2016.

Where is Verimed Health Group Clearwater, LLC located?

Verimed Health Group Clearwater, LLC is located at 2515 Countryside Blvd Ste H, Clearwater, FL 33763. The listed phone number is (727) 796-8600.

What is Verimed Health Group Clearwater, LLC's specialty?

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

Is Verimed Health Group Clearwater, LLC enrolled in Medicare?

Yes. Verimed Health Group Clearwater, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Verimed Health Group Clearwater, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Verimed Health Group Clearwater, LLC, in General Practice, Nurse Practitioner and Osteopathic Manipulative Medicine. 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, 1 practice at this address and 2 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 Verimed Health Group Clearwater, LLC was last updated on September 26, 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.