611 MEDICAL LLC
NPI 1396687935
Clinic/Center - Primary Care in Royal Palm Beach, FL
About 611 Medical Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
611 MEDICAL LLC (NPI 1396687935) is a healthcare organization registered as a primary care in Royal Palm Beach, Florida and active in the NPI registry since April 2026. The organization holds a CLIA Waiver certificate valid through July 23, 2028 and lists George Hamilos, Managing Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
611 Medical Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to 611 Medical LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 10D2347800
611 Medical LLC · Royal Palm Beach, 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 611 Medical LLC's NPI number?
The NPI number for 611 Medical LLC is 1396687935. It was assigned to this organization in the NPPES registry on April 6, 2026.
Where is 611 Medical LLC located?
611 Medical LLC is located at 11081 Southern Blvd Ste 160, Royal Palm Beach, FL 33411. The listed phone number is (561) 906-1155.
What is 611 Medical LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is 611 Medical LLC enrolled in Medicare?
Yes. 611 Medical LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through 611 Medical LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to 611 Medical 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does 611 Medical LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2347800) is associated with this NPI, valid through July 23, 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 611 Medical LLC was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# 611 Medical Llc · NPI 1396687935
Primary Care organization in Royal Palm Beach, Florida. Organization record, active in the CMS NPPES registry since April 6, 2026.
## Identity
- **NPI:** 1396687935 (Entity type: Organization)
- **Enumerated:** April 6, 2026
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** George Hamilos, MANAGING PARTNER
## Practice location
- **Address:** 11081 SOUTHERN BLVD STE 160, Royal Palm Beach, FL 33411-4253
- **Phone:** (561) 906-1155
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 6, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1396687935) · Data from the CMS NPPES public registry.