1. Home
  2. Directory
  3. Florida
  4. Bonita Springs
  5. Family Medicine
  6. NPI Profile

MILLENNIUM PHYSICIAN GROUP LLC
NPI 1316319221
Family Medicine in Bonita Springs, FL

Active since October 30, 2015CLIA Certified · 3 labs
9500 BONITA BEACH RD SE STE 101, BONITA SPRINGS, FL 34135(239) 498-9294(239) 498-7179 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 18, 2023, Jul 26, 2021 (2 updates tracked since 2021).

About Millennium Physician Group Llc NPPES

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

MILLENNIUM PHYSICIAN GROUP LLC (NPI 1316319221) is a healthcare organization registered as a family medicine in Bonita Springs, Florida and active in the NPI registry since October 2015. The organization holds 3 active CLIA laboratory certificates and lists Mary Haltigan, Business Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1316319221
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMILLENNIUM PHYSICIAN GROUP LLC
Location Address9500 BONITA BEACH RD SE STE 101Bonita Springs, FL 34135-4679
Mailing Address2675 Winkler Ave Fl 2Fort Myers, FL 33901-9342 · (877) 856-3774 · Fax (239) 599-2612
Phone(239) 498-9294
Fax(239) 498-7179
Organization SubpartNo
Authorized OfficialMary HaltiganBusiness Operations Manager · (877) 856-3774
Enumeration DateOctober 30, 2015
Last NPPES UpdateJanuary 18, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2023
✔ NPI 1316319221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
9500 BONITA BEACH RD SE STE 101, Bonita Springs, FL 34135
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA 4

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 10D2263414

Millennium Physician Group, LLC · Bonita Springs, FL
Active · expires Jun 27, 2028
CLIA Number10D2263414
Laboratory TypePhysician Office
Certificate Effective DateJune 28, 2026
Certificate Expiration DateJune 27, 2028
Laboratory DirectorShawn B. Miller
Laboratory Phone(941) 787-7665
Laboratory LocationMillennium Physician Group, LLC27160 Bay Landing Drive Suite 201, Bonita Springs, FL 34135
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D1026705

Millennium Physician Group LLC · Bonita Springs, FL
Active · expires Jun 13, 2028
CLIA Number10D1026705
Laboratory TypePhysician Office
Certificate Effective DateJune 14, 2026
Certificate Expiration DateJune 13, 2028
Laboratory DirectorShawn B. Miller
Laboratory Phone(239) 498-8294
Laboratory LocationMillennium Physician Group LLC9500 Bonita Beach Road Suite 101, Bonita Springs, FL 34135
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2317586

Millennium Physician Group LLC · Bonita Springs, FL
Active · expires Jan 27, 2027
CLIA Number10D2317586
Laboratory TypePhysician Office
Certificate Effective DateJanuary 28, 2025
Certificate Expiration DateJanuary 27, 2027
Laboratory DirectorDonald Baseman
Laboratory Phone(941) 787-7665
Laboratory LocationMillennium Physician Group LLC9410 Fountain Medical Ct, Suite A102, Bonita Springs, FL 34135
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2265468

Millennium Physician Group, LLC · Bonita Springs, FL
Expired · Jul 27, 2026
CLIA Number10D2265468
Laboratory TypePhysician Office
Certificate Effective DateJuly 28, 2024
Certificate Expiration DateJuly 27, 2026
Laboratory DirectorJason Triana
Laboratory Phone(941) 787-7665
Laboratory LocationMillennium Physician Group, LLC9520 Bonita Beach Rd, Bonita Springs, FL 34135
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

MARCANTHONY H MORGAN APRN FNP-C
Nurse Practitioner (Family)
9500 BONITA BEACH RD SE STE 101
BONITA SPRINGS, FL 34135
Lee County (239) 498-9294
CAROLINE SMITH FNP
Nurse Practitioner (Family)
9500 BONITA BEACH RD SE STE 101
BONITA SPRINGS, FL 34135
Lee County (239) 498-9294

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 Millennium Physician Group LLC's NPI number?

The NPI number for Millennium Physician Group LLC is 1316319221. It was assigned to this organization in the NPPES registry on October 30, 2015.

Where is Millennium Physician Group LLC located?

Millennium Physician Group LLC is located at 9500 Bonita Beach Rd SE Ste 101, Bonita Springs, FL 34135. The listed phone number is (239) 498-9294.

What is Millennium Physician Group LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Millennium Physician Group LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Millennium Physician Group LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Millennium Physician Group 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 Millennium Physician Group LLC was last updated on January 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.