COLUMBIA MEDICAL GROUP
NPI 1306255237
Nurse Practitioner - Family in Greenacres, FL

Active since August 05, 2014CLIA 10D2060573 · Waiver
3907 S JOG RD, GREENACRES, FL 33467(561) 432-3455 Get Directions Write a Review

NPPES record last updated: August 5, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Columbia Medical Group NPPES

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

COLUMBIA MEDICAL GROUP (NPI 1306255237) is a healthcare organization registered as a family in Greenacres, Florida and active in the NPI registry since August 2014. The organization holds a CLIA Waiver certificate valid through June 12, 2027 and lists Ramon Voils, Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1306255237
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCOLUMBIA MEDICAL GROUP
Location Address3907 S JOG RDGreenacres, FL 33467-1590
Mailing Address3907 S Jog RdGreenacres, FL 33467-1590
Organization SubpartNo
Authorized OfficialRamon VoilsAdministrative Officer · (561) 432-3455
Enumeration DateAugust 5, 2014
NPI 1306255237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in FL · ARNP9310077
3907 S JOG RD, Greenacres, FL 33467

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

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 10D2060573

Columbia Medical Group LLC · Greenacres, FL
Active · expires Jun 12, 2027
CLIA Number10D2060573
Laboratory TypePhysician Office
Certificate Effective DateJune 13, 2025
Certificate Expiration DateJune 12, 2027
Laboratory DirectorMitchell A. Perelman
Laboratory Phone(561) 432-3455
Laboratory LocationColumbia Medical Group LLC3907 Jog Rd, Greenacres, FL 33467
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 3

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

Nurse Practitioner (Family)
3907 S JOG RD
GREENACRES, FL 33467
Family Medicine
3907 S JOG RD
GREENACRES, FL 33467
Nurse Practitioner (Adult Health)
3907 S JOG RD
GREENACRES, FL 33467

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 Columbia Medical Group's NPI number?

The NPI number for Columbia Medical Group is 1306255237. It was assigned to this organization in the NPPES registry on August 5, 2014.

Where is Columbia Medical Group located?

Columbia Medical Group is located at 3907 S Jog Rd, Greenacres, FL 33467. The listed phone number is (561) 432-3455.

What is Columbia Medical Group's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Columbia Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2060573) is associated with this NPI, valid through June 12, 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 Columbia Medical Group was last updated on August 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.