MEDWIN CLINICIANS
NPI 1275168650
Clinic/Center - Primary Care in Lauderdale Lakes, FL
About Medwin Clinicians NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEDWIN CLINICIANS (NPI 1275168650) is a healthcare organization registered as a primary care in Lauderdale Lakes, Florida and active in the NPI registry since March 2020. The organization holds a CLIA Waiver certificate valid through January 11, 2027, maintains a secondary practice location in Miami, and lists Micah Boaz Edwin, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Medwin Clinicians is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Medwin Clinicians, which bills Medicare for the services this clinician delivers.
Clinician (1)
Lauderdale Lakes, FL 33313
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 10D2209258
Medwin PA · Lauderdale Lakes, FLFrequently 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 Medwin PA's NPI number?
The NPI number for Medwin PA is 1275168650. It was assigned to this organization in the NPPES registry on March 6, 2020. The provider is doing business as Medwin Clinicians.
Where is Medwin PA located?
Medwin PA is located at 4850 W Oakland Park Blvd Ste 224, Lauderdale Lakes, FL 33313. The listed phone number is (786) 214-2001.
What is Medwin PA's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Medwin PA enrolled in Medicare?
Yes. Medwin PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Medwin PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Medwin PA. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Medwin PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2209258) is associated with this NPI, valid through January 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Medwin PA was last updated on April 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Medwin Clinicians · NPI 1275168650
Primary Care organization in Lauderdale Lakes, Florida. Organization record, active in the CMS NPPES registry since March 6, 2020.
## Identity
- **NPI:** 1275168650 (Entity type: Organization)
- **Enumerated:** March 6, 2020
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Legal business name:** Medwin Pa
- **Organization subpart:** No
- **Authorized official:** Micah Edwin, PRESIDENT
## Practice location
- **Address:** 4850 W OAKLAND PARK BLVD STE 224, Lauderdale Lakes, FL 33313-7261
- **Phone:** (786) 214-2001
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (General Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 8, 2021
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1275168650) · Data from the CMS NPPES public registry.