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PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC
NPI 1467129791
Internal Medicine - Gastroenterology in Port Charlotte, FL

Active since August 25, 2021
3440 TAMIAMI TRL UNIT 1, PORT CHARLOTTE, FL 33952(941) 258-9500(941) 258-9501 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 25, 2022, Aug 25, 2021 (2 updates tracked since 2021).

About Port Charlotte Hma Physician Management Llc NPPES

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

PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC (NPI 1467129791) is a healthcare organization registered as a gastroenterology in Port Charlotte, Florida and active in the NPI registry since August 2021. The organization maintains a secondary practice location in Port Charlotte and lists Jennifer L Jackson, Sr Dir Prov Enrollment & Onboarding, as its authorized official.

NPPES Registry Identity

NPI1467129791
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NamePORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC
Location Address3440 TAMIAMI TRL UNIT 1Port Charlotte, FL 33952-8134
Mailing AddressPo Box 689022Franklin, TN 37068-9022 · (615) 465-7211 · Fax (615) 628-6877
Phone(941) 258-9500
Fax(941) 258-9501
Organization SubpartNo
Authorized OfficialJennifer L JacksonSr Dir Prov Enrollment & Onboarding · (615) 465-3334
Enumeration DateAugust 25, 2021
Last NPPES UpdateJuly 25, 20222 updates tracked since enumeration
NPPES CertifiedJuly 25, 2022
✔ NPI 1467129791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedNurse Practitioner · Obstetrics & GynecologyTaxonomy 363LX0001X
3440 TAMIAMI TRL UNIT 1, Port Charlotte, FL 33952
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Other Names 1

Doing Business AsPort Charlotte Hma Physician Management Llc

Secondary Practice Location 1

Location 12484 Caring Way Unit DPort Charlotte, FL 33952-5306 · Phone (941) 205-2666 · Fax (941) 205-2665

Other Identifiers 1

MedicaidPENDINGFL

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MARIM A WILLIAMS APRN
Nurse Practitioner
3440 TAMIAMI TRL UNIT 1
PORT CHARLOTTE, FL 33952
Charlotte County (941) 255-3535
COASTAL GASTROENTEROLGY AND GENERAL SURGERY LLC
Internal Medicine (Gastroenterology)
3440 TAMIAMI TRL UNIT 1
PORT CHARLOTTE, FL 33952
Charlotte County (941) 200-4288
DEREK MCCRANIE
Surgery
3440 TAMIAMI TRL UNIT 1
PORT CHARLOTTE, FL 33952
Charlotte County (941) 235-8217
DR. SANSKRITI SHARMA MD
Internal Medicine (Gastroenterology)
3440 TAMIAMI TRL UNIT 1
PORT CHARLOTTE, FL 33952
Charlotte County (941) 404-8189

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 Port Charlotte Hma Physician Management LLC's NPI number?

The NPI number for Port Charlotte Hma Physician Management LLC is 1467129791. It was assigned to this organization in the NPPES registry on August 25, 2021.

Where is Port Charlotte Hma Physician Management LLC located?

Port Charlotte Hma Physician Management LLC is located at 3440 Tamiami Trl Unit 1, Port Charlotte, FL 33952. The listed phone number is (941) 258-9500.

What is Port Charlotte Hma Physician Management LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Port Charlotte Hma Physician Management LLC was last updated on July 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.