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CONVIVA MIDDLEBURG
NPI 1285203869
Internal Medicine in Middleburg, FL

Active since June 18, 2021CLIA 10D2058671 · Waiver
1586 BRANAN FIELD RD, MIDDLEBURG, FL 32068(904) 282-8000(904) 282-8044 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 16, 2024, Sep 6, 2022, Jun 18, 2021 (3 updates tracked since 2021).

About Conviva Middleburg NPPES

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

CONVIVA MIDDLEBURG (NPI 1285203869) is a healthcare organization registered as an internal medicine in Middleburg, Florida and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through May 9, 2027 and lists Kevin Meriwether, President, as its authorized official.

NPPES Registry Identity

NPI1285203869
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCONVIVA MEDICAL CENTER MANAGEMENT LLC
Location Address1586 BRANAN FIELD RDMiddleburg, FL 32068-8427
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000
Phone(904) 282-8000
Fax(904) 282-8044
Organization SubpartYes
Authorized OfficialKevin MeriwetherPresident · (305) 500-2000
Enumeration DateJune 18, 2021
Last NPPES UpdateDecember 16, 20243 updates tracked since enumeration
NPPES CertifiedDecember 16, 2024
✔ NPI 1285203869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedGeneral PracticeTaxonomy 208D00000X
1586 BRANAN FIELD RD, Middleburg, FL 32068
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Other Names 1

Other NameConviva Middleburg

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

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 10D2058671

Conviva Medical Center Management LLC Dba Conviva Senior Primary Care · Middleburg, FL
Active · expires May 9, 2027
CLIA Number10D2058671
Laboratory TypePhysician Office
Certificate Effective DateMay 10, 2025
Certificate Expiration DateMay 9, 2027
Laboratory DirectorDr. Subhadra Chereddy
Laboratory Phone(904) 282-8000
Laboratory LocationConviva Medical Center Management LLC Dba Conviva Senior Primary Care1586 Branan Feild Road, Middleburg, FL 32068
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TWYLA D CARLEY APRN
Nurse Practitioner (Family)
1586 BRANAN FIELD RD
MIDDLEBURG, FL 32068
Clay County (904) 282-8000
MC MEDICAL LLC
General Practice
1586 BRANAN FIELD RD
MIDDLEBURG, FL 32068
Clay County (904) 406-6303
DR. PEDRO D RIVERA MORILLO M.D.
General Practice
1586 BRANAN FIELD RD
MIDDLEBURG, FL 32068
Clay County (904) 282-8000
MC MEDICAL LLC
General Practice
1586 BRANAN FIELD RD
MIDDLEBURG, FL 32068
Clay County (904) 406-6303

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 Conviva Medical Center Management LLC's NPI number?

The NPI number for Conviva Medical Center Management LLC is 1285203869. It was assigned to this organization in the NPPES registry on June 18, 2021. The provider is also known as Conviva Middleburg.

Where is Conviva Medical Center Management LLC located?

Conviva Medical Center Management LLC is located at 1586 Branan Field Rd, Middleburg, FL 32068. The listed phone number is (904) 282-8000.

What is Conviva Medical Center Management LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Conviva Medical Center Management LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2058671) is associated with this NPI, valid through May 9, 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 Conviva Medical Center Management LLC was last updated on December 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.