LIFEMD SOUTHERN PATIENT MEDICAL CARE PC
Medicare Clinicians for NPI 1417635921
Clinic/Center in Orlando, FL

Active since July 06, 2023
111 N ORANGE AVE STE 800, ORLANDO, FL 32801(646) 263-3680 Get Directions

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 2, 2024, Jul 6, 2023 (2 updates tracked since 2023).

Clinicians Billing Medicare Through This Organization CMS

Clinicians who reassign their Medicare billing to this organization, per CMS enrollment records.

Lifemd Southern Patient Medical Care PC in Orlando, FL bills Medicare for 44 clinicians across 5 Medicare specialties. The largest specialties are Nurse Practitioner with 35, Family Practice with 4 and Registered Dietitian or Nutrition Professional with 3. Search by name or filter by specialty; each name links to that clinician's NPI profile.

44Clinicians
5Medicare specialties
41PECOS enrolled
20Accept Medicare
44 clinicians in 5 specialties

Nurse Practitioner (35)

Nurse Practitioner
NPI 1265042147
3131 N MCMULLEN BOOTH RD
Clearwater, FL 33761
(727) 726-8871
✔ PECOS88 mi
Nurse Practitioner
NPI 1770080046
3131 N MCMULLEN BOOTH RD
Clearwater, FL 33761
(727) 726-8871
✔ PECOS✔ Accepts Medicare88 mi
Nurse Practitioner
NPI 1912764101
10801 STARKEY RD STE 104-407
Seminole, FL 33777
(786) 442-8696
✔ PECOS96 mi
Nurse Practitioner
NPI 1538789037
8531 MABEL DR
Jacksonville, FL 32256
(904) 859-8585
✔ PECOS✔ Accepts Medicare116 mi
Nurse Practitioner
NPI 1265053516
150 BUSCH DR # 26123
Jacksonville, FL 32218
(904) 502-8477
✔ PECOS✔ Accepts Medicare131 mi
Nurse Practitioner
NPI 1922873009
5352 LINTON BLVD
Delray Beach, FL 33484
(561) 498-4440
✔ PECOS✔ Accepts Medicare164 mi
Nurse Practitioner
NPI 1235892050
21301 POWERLINE RD STE 106
Boca Raton, FL 33433
(866) 550-2212
✔ PECOS✔ Accepts Medicare168 mi
Nurse Practitioner
NPI 1316647597
201 N UNIVERSITY DR STE 106
Plantation, FL 33324
(544) 722-0119
✔ PECOS180 mi
Nurse Practitioner
NPI 1538643465
2241 SW 98TH TER
Davie, FL 33324
(954) 751-2776
✔ PECOS182 mi
Nurse Practitioner
NPI 1871906024
3350 RIVERWOOD PKWY SE
Atlanta, GA 30339
(404) 996-0194
✔ PECOS✔ Accepts Medicare410 mi
Nurse Practitioner
NPI 1245709070
407 W KING ST
Kings Mountain, NC 28086
(704) 730-8461
✔ PECOS461 mi
Nurse Practitioner
NPI 1447467493
1427 WILLIAM BLOUNT DRIVE
Maryville, TN 37801
(865) 358-0611
✔ PECOS520 mi
Nurse Practitioner
NPI 1144916362
3805 COMPUTER DR
Raleigh, NC 27609
(919) 781-6200
✔ PECOS✔ Accepts Medicare527 mi
Nurse Practitioner
NPI 1508913237
121 N CONCORD ST
Knoxville, TN 37919
(865) 673-6741
✔ PECOS✔ Accepts Medicare532 mi
Nurse Practitioner
NPI 1881086296
3201 S CARROLLTON AVE
New Orleans, LA 70118
(504) 948-2873
✔ PECOS536 mi
Nurse Practitioner
NPI 1306390075
9351 ATLEE RD
Mechanicsville, VA 23116
(804) 569-8246
✔ PECOS✔ Accepts Medicare669 mi
Nurse Practitioner
NPI 1023616125
5306 E BLOCHER RD
Lexington, IN 47138
(812) 820-6569
✔ PECOS743 mi
Nurse Practitioner
NPI 1144860065
460 W 10TH AVE
Columbus, OH 43210
(614) 293-3230
✔ PECOS795 mi
Nurse Practitioner
NPI 1649500356
8 THE GRN STE B
Dover, DE 19901
(347) 631-7113
✔ PECOS✔ Accepts Medicare805 mi
Nurse Practitioner
NPI 1922335827
27713 LORAIN RD
North Olmsted, OH 44070
(216) 280-0697
✔ PECOS✔ Accepts Medicare888 mi
Nurse Practitioner
NPI 1821464835
530 5TH AVE FL 10
New York, NY 10036
(917) 261-4414
✔ PECOS940 mi
Nurse Practitioner
NPI 1750530036
4716 W URBANA ST
Broken Arrow, OK 74012
(918) 872-6515
✔ PECOS990 mi
Nurse Practitioner
NPI 1447563275
823 CONGRESS AVE STE 300
Austin, TX 78701
(917) 261-4414
✔ PECOS993 mi
Nurse Practitioner
NPI 1174033765
1204 MAIN ST STE 576
Branford, CT 06405
(844) 359-8363
✔ PECOS1,003 mi
Nurse Practitioner
NPI 1770990210
1 FOXCARE DR SUITE 308
Oneonta, NY 13820
(718) 534-0689
✔ PECOS✔ Accepts Medicare1,023 mi
Nurse Practitioner
NPI 1760884407
260 ARSENAL PL
Watertown, MA 02472
(888) 897-1887
✔ PECOS1,111 mi
Nurse Practitioner
NPI 1700490166
317 6TH AVE STE 400
Des Moines, IA 50309
(515) 864-0259
✔ PECOS1,133 mi
Nurse Practitioner
NPI 1649962606
317 6TH AVE STE 400
Des Moines, IA 50309
(914) 429-4643
✔ PECOS✔ Accepts Medicare1,133 mi
Nurse Practitioner
NPI 1578841490
4132 S 199TH CIR
Omaha, NE 68135
(402) 208-4585
✔ PECOS1,211 mi
Nurse Practitioner
NPI 1407296403
PO BOX 211699
Eagan, MN 55121
(866) 849-0692
✔ PECOS1,295 mi
Nurse Practitioner
NPI 1942850862
2520 N DEVON AVE
Tea, SD 57064
(509) 240-5490
✔ PECOS1,340 mi
Nurse Practitioner
NPI 1639623812
1459 S HIGLEY RD STE 106
Gilbert, AZ 85296
(480) 556-0446
✔ PECOS1,825 mi
Nurse Practitioner
NPI 1578068193
1810 E SAHARA AVE
Las Vegas, NV 89104
(832) 549-6655
✔ PECOS✔ Accepts Medicare2,031 mi
Nurse Practitioner
NPI 1356699912
3020 BERNAL AVE
Pleasanton, CA 94566
(860) 518-4629
✔ PECOS✔ Accepts Medicare2,410 mi
Nurse Practitioner
NPI 1003300757
2 EMBARCADERO CTR LBBY LEVEL
San Francisco, CA 94111
(888) 663-6331
✔ PECOS✔ Accepts Medicare2,440 mi

Family Practice (4)

Family Practice
NPI 1558856518
2171 LAVISTA RD NE STE 100
Atlanta, GA 30329
(404) 982-8009
✔ PECOS✔ Accepts Medicare403 mi
Family Practice
NPI 1285728410
750 WESTGREEN BLVD
Katy, TX 77450
(281) 578-4600
✔ PECOS872 mi
Family Practice
NPI 1275602625
300 FIR ST
San Diego, CA 92101
(858) 499-2777
✔ PECOS✔ Accepts Medicare2,141 mi
Family Practice
NPI 1013020833
911 MORAGA RD
Lafayette, CA 94549
(925) 961-9120
✔ PECOS✔ Accepts Medicare2,425 mi

Registered Dietitian or Nutrition Professional (3)

Registered Dietitian or Nutrition Professional
NPI 1447555388
825 SE 6TH ST
Fort Lauderdale, FL 33301
(954) 649-1162
184 mi
Registered Dietitian or Nutrition Professional
NPI 1861756264
52 BEAR CREEK RD
Asheville, NC 28806
(828) 549-8404
✔ Accepts Medicare490 mi
Registered Dietitian or Nutrition Professional
NPI 1669968236
1431 NW WILLOW DR
Grain Valley, MO 64029
(816) 519-2175
1,031 mi

Internal Medicine (1)

Internal Medicine
NPI 1861767113
4759 US HIGHWAY 19
New Port Richey, FL 34652
(727) 841-8772
✔ PECOS85 mi

Orthopedic Surgery (1)

Orthopedic Surgery
NPI 1952537532
800 FLEMING ST
Hendersonville, NC 28791
(828) 698-4318
✔ PECOS471 mi
No clinicians match the current filters.

About this data

Medicare reassignment. A clinician who works for a hospital, clinic or medical group usually signs a Medicare reassignment (form CMS-855R). It lets the organization bill Medicare for the clinician's services and receive the payment. This page lists the clinicians whose reassignment to Lifemd Southern Patient Medical Care PC appears in the CMS Revalidation Reassignment List.

Who is included. Clinicians who bill Medicare under their own NPI through this organization. A clinician can reassign to more than one organization, so the same name may also appear under other groups.

✔ PECOS
Enrolled in Medicare through PECOS, CMS's enrollment system, and eligible to order and refer for Medicare patients.
✔ Accepts Medicare
Accepts Medicare assignment, which means taking the Medicare-approved amount as full payment for covered services.
Same address 4.2 mi
Straight-line distance from this NPI's practice location to the clinician's practice address.

Addresses and phone numbers come from each clinician's own NPPES record, so they may point to another office or to the clinician's own practice.

Source: CMS Revalidation Reassignment List, October 2026 release; addresses, phone numbers and Medicare status from NPPES and PECOS. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.