MEADOWCREST PHYSICIANS PARTNERS LLC - NPI 1346608742 - Family Medicine in Crystal River, FL

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

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About Meadowcrest Physicians Partners Llc NPPES

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

MEADOWCREST PHYSICIANS PARTNERS LLC (NPI 1346608742) is a healthcare organization registered as a family medicine in Crystal River, Florida and active in the NPI registry since February 2016. The organization holds an CLIA Accreditation certificate valid through January 7, 2028 and lists Alex J Dickert, Owner, as its authorized official.

NPPES Registry Identity

NPI1346608742

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameMEADOWCREST PHYSICIANS PARTNERS LLC

Location Address6199 W GULF TO LAKE HWYCrystal River, FL 34429-2679

Mailing Address6199 W Gulf To Lake HwyCrystal River, FL 34429-2679 · (352) 795-0644 · Fax (352) 795-5950

Phone(352) 795-0644

Fax(352) 795-5950

Organization SubpartNo

Authorized OfficialAlex J DickertOwner · (352) 795-0644

Enumeration DateFebruary 1, 2016

✔ NPI 1346608742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

6199 W GULF TO LAKE HWY, Crystal River, FL 34429

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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 Accreditation 10D0272367

Meadowcrest Physician Partners LLC · Crystal River, FL

Active · expires Jan 7, 2028

CLIA Number10D0272367

Laboratory TypePhysician Office

Certificate Effective DateJanuary 8, 2026

Certificate Expiration DateJanuary 7, 2028

Laboratory DirectorDr. Jimmy Dickert

Laboratory Phone(352) 795-0644

Laboratory LocationMeadowcrest Physician Partners LLC6199 W Gulf To Lake Hwy, Crystal River, FL 34429

CLIA data matches this NPI record on: Address Phone

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 5

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

JIM C DICKERT DO

Family Medicine