LAKELAND PHYSICIANS & ASSOCIATES, LLC
NPI 1427429281
Clinic/Center - Primary Care in Lakeland, FL

Active since October 19, 2015CLIA 10D2103806 · Waiver
1818 HARDEN BLVD, STE 120, LAKELAND, FL 33803(863) 210-5640(863) 210-5716 Get Directions Write a Review

NPPES record last updated: January 19, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lakeland Physicians & Associates, Llc NPPES

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

LAKELAND PHYSICIANS & ASSOCIATES, LLC (NPI 1427429281) is a healthcare organization registered as a primary care in Lakeland, Florida and active in the NPI registry since October 2015. The organization holds a CLIA Waiver certificate valid through October 20, 2027 and lists Jean Thomas, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1427429281
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLAKELAND PHYSICIANS & ASSOCIATES, LLC
Location Address1818 HARDEN BLVD, STE 120Lakeland, FL 33803-1812
Mailing AddressPo Box 470426Lake Monroe, FL 32747-0426 · (863) 210-5640
Fax(863) 210-5716
Organization SubpartNo
Authorized OfficialJean ThomasPractice Administrator · (863) 210-5640
Enumeration DateOctober 19, 2015
Last NPPES UpdateJanuary 19, 2017
✔ NPI 1427429281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1818 HARDEN BLVD, Lakeland, FL 33803

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)

Lakeland Physicians & Associates, 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 Lakeland Physicians & Associates, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1063673812
1818 HARDEN BLVD STE 120
Lakeland, FL 33803
(863) 210-5640
✔ PECOS✔ Accepts MedicareSame address

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 10D2103806

Lakeland Physicians And Associates · Lakeland, FL
Active · expires Oct 20, 2027
CLIA Number10D2103806
Laboratory TypePhysician Office
Certificate Effective DateOctober 21, 2025
Certificate Expiration DateOctober 20, 2027
Laboratory DirectorAvantica Gondi
Laboratory Phone(863) 210-5640
Laboratory LocationLakeland Physicians And Associates1818 Harden Blvd Ste 120, Lakeland, FL 33803
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Lakeland Physicians & Associates, LLC's NPI number?

The NPI number for Lakeland Physicians & Associates, LLC is 1427429281. It was assigned to this organization in the NPPES registry on October 19, 2015.

Where is Lakeland Physicians & Associates, LLC located?

Lakeland Physicians & Associates, LLC is located at 1818 Harden Blvd Ste 120, Lakeland, FL 33803. The listed phone number is (863) 210-5640.

What is Lakeland Physicians & Associates, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Lakeland Physicians & Associates, LLC enrolled in Medicare?

Yes. Lakeland Physicians & Associates, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lakeland Physicians & Associates, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Lakeland Physicians & Associates, 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 Lakeland Physicians & Associates, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2103806) is associated with this NPI, valid through October 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lakeland Physicians & Associates, LLC accept?

Health plans from Molina Healthcare list Lakeland Physicians & Associates, 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 Lakeland Physicians & Associates, LLC was last updated on January 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.