LIFEMD SOUTHERN PATIENT MEDICAL CARE PC
NPI 1417635921
Clinic/Center in Orlando, FL
About Lifemd Southern Patient Medical Care Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIFEMD SOUTHERN PATIENT MEDICAL CARE PC (NPI 1417635921) is a healthcare organization registered as a clinic/center in Orlando, Florida and active in the NPI registry since July 2023. The organization maintains a secondary practice location in Atlanta and lists Eric Yecies, Cco, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lifemd Southern Patient Medical Care Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
44Medicare enrollment records show 44 clinicians reassign Medicare billing to Lifemd Southern Patient Medical Care PC, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 44Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Lifemd Southern Patient Medical Care PC's NPI number?
The NPI number for Lifemd Southern Patient Medical Care PC is 1417635921. It was assigned to this organization in the NPPES registry on July 6, 2023.
Where is Lifemd Southern Patient Medical Care PC located?
Lifemd Southern Patient Medical Care PC is located at 111 N Orange Ave Ste 800, Orlando, FL 32801. The listed phone number is (646) 263-3680.
What is Lifemd Southern Patient Medical Care PC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Lifemd Southern Patient Medical Care PC enrolled in Medicare?
Yes. Lifemd Southern Patient Medical Care PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lifemd Southern Patient Medical Care PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 44 clinicians in 5 Medicare specialties reassign their Medicare billing to Lifemd Southern Patient Medical Care PC. 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. The largest specialties are Nurse Practitioner (35), Family Practice (4) and Registered Dietitian or Nutrition Professional (3). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Lifemd Southern Patient Medical Care PC accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas and CareSource list Lifemd Southern Patient Medical Care PC 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 Lifemd Southern Patient Medical Care PC was last updated on May 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Lifemd Southern Patient Medical Care Pc · NPI 1417635921
Clinic/Center organization in Orlando, Florida. Organization record, active in the CMS NPPES registry since July 6, 2023.
## Identity
- **NPI:** 1417635921 (Entity type: Organization)
- **Enumerated:** July 6, 2023
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Eric Yecies, CCO
## Practice location
- **Address:** 111 N ORANGE AVE STE 800, Orlando, FL 32801-2381
- **Phone:** (646) 263-3680
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 44 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (35), Family Practice (4), Registered Dietitian or Nutrition Professional (3); [full list](https://npiprofile.com/npi/1417635921/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 28, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1417635921) · Data from the CMS NPPES public registry.