TLC MEDICAL CENTER LLC
NPI 1295102598
Clinic/Center in Fort Myers, FL
About Tlc Medical Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TLC MEDICAL CENTER LLC (NPI 1295102598) is a healthcare organization registered as a clinic/center in Fort Myers, Florida and active in the NPI registry since August 2015. The organization holds a CLIA Waiver certificate valid through May 8, 2028 and lists Jacques Herve Desir, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tlc Medical Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Tlc Medical Center 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)
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 10D2112775
Tlc Medical Center LLC · Fort Myers, 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 Tlc Medical Center LLC's NPI number?
The NPI number for Tlc Medical Center LLC is 1295102598. It was assigned to this organization in the NPPES registry on August 22, 2015.
Where is Tlc Medical Center LLC located?
Tlc Medical Center LLC is located at 2040 Collier Ave Suite A, Fort Myers, FL 33901. The listed phone number is (239) 645-3131.
What is Tlc Medical Center LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Tlc Medical Center LLC enrolled in Medicare?
Yes. Tlc Medical Center LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tlc Medical Center LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Tlc Medical Center 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.
Does Tlc Medical Center LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2112775) is associated with this NPI, valid through May 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Tlc Medical Center LLC accept?
Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Tlc Medical Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Tlc Medical Center LLC was last updated on August 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Tlc Medical Center Llc · NPI 1295102598
Clinic/Center organization in Fort Myers, Florida. Organization record, active in the CMS NPPES registry since August 22, 2015.
## Identity
- **NPI:** 1295102598 (Entity type: Organization)
- **Enumerated:** August 22, 2015
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Jacques Desir, PRESIDENT
## Practice location
- **Address:** 2040 COLLIER AVE, SUITE A, Fort Myers, FL 33901-8124
- **Phone:** (239) 645-3131
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2015
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1295102598) · Data from the CMS NPPES public registry.