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PAXTON MEDICAL MANAGEMENT
NPI 1457950420
Family Medicine in North Port, FL

Active since October 21, 2020CLIA 10D2221262 · Waiver
14279 TAMIAMI TRL, NORTH PORT, FL 34287(941) 263-2050 Get Directions Write a Review

NPPES record last updated: October 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paxton Medical Management NPPES

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

PAXTON MEDICAL MANAGEMENT (NPI 1457950420), doing business as Family Doctors Of North Port, is a healthcare organization registered as a family medicine in North Port, Florida and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through April 19, 2027 and lists John Grove, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1457950420
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePAXTON MEDICAL MANAGEMENT
Location Address14279 TAMIAMI TRLNorth Port, FL 34287-2215
Mailing Address8050 Seminole BlvdSeminole, FL 33772-4808 · (727) 275-2005 · Fax (727) 498-8951
Phone(941) 263-2050
Organization SubpartYes
Authorized OfficialJohn GroveChief Operating Officer · (727) 581-7212
Enumeration DateOctober 21, 2020
NPPES CertifiedOctober 21, 2020
✔ NPI 1457950420 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.
14279 TAMIAMI TRL, North Port, FL 34287
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Other Names 1

Doing Business AsFamily Doctors Of North Port

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 Waiver 10D2221262

Paxton Medical Management, Inc Dba Family Doctors Of North Port · North Port, FL
Active · expires Apr 19, 2027
CLIA Number10D2221262
Laboratory TypePhysician Office
Certificate Effective DateApril 20, 2025
Certificate Expiration DateApril 19, 2027
Laboratory DirectorEugene Dibetta Jr
Laboratory Phone(941) 263-2050
Laboratory LocationPaxton Medical Management, Inc Dba Family Doctors Of North Port14279 S Tamiami Trail, North Port, FL 34287
CLIA data matches this NPI record on: Name 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 Paxton Medical Management's NPI number?

The NPI number for Paxton Medical Management is 1457950420. It was assigned to this organization in the NPPES registry on October 21, 2020. The provider is doing business as Family Doctors of North Port.

Where is Paxton Medical Management located?

Paxton Medical Management is located at 14279 Tamiami Trl, North Port, FL 34287. The listed phone number is (941) 263-2050.

What is Paxton Medical Management's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Paxton Medical Management hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2221262) is associated with this NPI, valid through April 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Paxton Medical Management was last updated on October 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.