SOUTH PALM PRIMARY CARE LLC
NPI 1306413455
Family Medicine in Boca Raton, FL
About South Palm Primary Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH PALM PRIMARY CARE LLC (NPI 1306413455) is a healthcare organization registered as a family medicine in Boca Raton, Florida and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through April 6, 2028 and lists Joann Yi, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 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)
South Palm Primary Care 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 South Palm Primary Care 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 (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 10D2257549
South Palm Primary Care LLC · Boca Raton, 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 South Palm Primary Care LLC's NPI number?
The NPI number for South Palm Primary Care LLC is 1306413455. It was assigned to this organization in the NPPES registry on June 8, 2021.
Where is South Palm Primary Care LLC located?
South Palm Primary Care LLC is located at 670 Glades Rd Ste 110, Boca Raton, FL 33431. The listed phone number is (561) 361-3133.
What is South Palm Primary Care LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is South Palm Primary Care LLC enrolled in Medicare?
Yes. South Palm Primary Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through South Palm Primary Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to South Palm Primary Care LLC, in Family Practice and Internal 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.
Does South Palm Primary Care LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2257549) is associated with this NPI, valid through April 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for South Palm Primary Care LLC was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# South Palm Primary Care Llc · NPI 1306413455
Family Medicine organization in Boca Raton, Florida. Organization record, active in the CMS NPPES registry since June 8, 2021.
## Identity
- **NPI:** 1306413455 (Entity type: Organization)
- **Enumerated:** June 8, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Joann Yi, OWNER
## Practice location
- **Address:** 670 GLADES RD STE 110, Boca Raton, FL 33431-6462
- **Phone:** (561) 361-3133 · **Fax:** (561) 361-9695
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Internal Medicine (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 24, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1306413455) · Data from the CMS NPPES public registry.