UROLIFE CLINIC LLC
NPI 1477377026
Urology in Lake City, FL

Active since November 11, 2024
256 SW PROFESSIONAL GLN, LAKE CITY, FL 32025(386) 758-8937 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 10, 2025, Nov 11, 2024 (2 updates tracked since 2024).

About Urolife Clinic Llc NPPES

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

UROLIFE CLINIC LLC (NPI 1477377026) is a healthcare organization registered as an urology in Lake City, Florida and active in the NPI registry since November 2024. The organization lists Sarah C Dumas, Manager, as its authorized official.

NPPES Registry Identity

NPI1477377026
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameUROLIFE CLINIC LLC
Location Address256 SW PROFESSIONAL GLNLake City, FL 32025-1104
Mailing Address256 Sw Professional GlnLake City, FL 32025-1104 · (386) 758-8937
Organization SubpartNo
Authorized OfficialSarah C DumasManager · (386) 758-8937
Enumeration DateNovember 11, 2024
Last NPPES UpdateApril 10, 20252 updates tracked since enumeration
NPPES CertifiedApril 10, 2025
✔ NPI 1477377026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedSurgeryTaxonomy 208600000X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
256 SW PROFESSIONAL GLN, Lake City, FL 32025

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Urolife Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Urolife Clinic LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1316581879
256 SW PROFESSIONAL GLN STE 102
Lake City, FL 32025
(386) 319-8938
✔ PECOSSame address
General Surgery
NPI 1629483508
3140 NW MEDICAL CENTER LN
Lake City, FL 32055
(386) 755-6682
✔ PECOS✔ Accepts Medicare3.0 mi

Source: 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 Urolife Clinic LLC's NPI number?

The NPI number for Urolife Clinic LLC is 1477377026. It was assigned to this organization in the NPPES registry on November 11, 2024.

Where is Urolife Clinic LLC located?

Urolife Clinic LLC is located at 256 SW Professional Gln, Lake City, FL 32025. The listed phone number is (386) 758-8937.

What is Urolife Clinic LLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Urolife Clinic LLC enrolled in Medicare?

Yes. Urolife Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Urolife Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Urolife Clinic LLC, in General Surgery and Nurse Practitioner. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Urolife Clinic LLC was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.