CENTERWELL SENIOR PRIMARY CARE VITALITY INC
NPI 1477425429
Internal Medicine in The Villages, FL

Active since September 19, 2025CLIA 10D2062829 · Waiver
1575 SANTA BARBARA BLVD, THE VILLAGES, FL 32159(352) 674-1740(352) 674-8940 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Centerwell Senior Primary Care Vitality Inc NPPES

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

CENTERWELL SENIOR PRIMARY CARE VITALITY INC (NPI 1477425429) is a healthcare organization registered as an internal medicine in The Villages, Florida and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through July 22, 2027 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1477425429
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE VITALITY INC
Location Address1575 SANTA BARBARA BLVDThe Villages, FL 32159-6820
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (407) 447-7120
Fax(352) 674-8940
Organization SubpartYes
Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateSeptember 19, 2025
NPPES CertifiedSeptember 19, 2025
NPI 1477425429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedGeneral PracticeTaxonomy 208D00000X
1575 SANTA BARBARA BLVD, The Villages, FL 32159

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

Accepted Insurance

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 10D2062829

Centerwell Senior Primary Care (vitality), Inc Dba Centerwell Senior Primary Care · The Villages, FL
Active · expires Jul 22, 2027
CLIA Number10D2062829
Laboratory TypePhysician Office
Certificate Effective DateJuly 23, 2025
Certificate Expiration DateJuly 22, 2027
Laboratory DirectorKimberly Giovannelli
Laboratory Phone(352) 674-1740
Laboratory LocationCenterwell Senior Primary Care (vitality), Inc Dba Centerwell Senior Primary Care1575 Santa Barbara Blvd, The Villages, FL 32159
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

Internal Medicine
1575 SANTA BARBARA BLVD
THE VILLAGES, FL 32159
Family Medicine
1575 SANTA BARBARA BLVD
THE VILLAGES, FL 32159
Hospitalist
1575 SANTA BARBARA BLVD
THE VILLAGES, FL 32159
Internal Medicine
1575 SANTA BARBARA BLVD
THE VILLAGES, FL 32159
Hearing Instrument Specialist
1575 SANTA BARBARA BLVD
THE VILLAGES, FL 32159
Nurse Practitioner (Family)
1575 SANTA BARBARA BLVD
THE VILLAGES, FL 32159
Nurse Practitioner (Family)
1575 SANTA BARBARA BLVD
THE VILLAGES, FL 32159
Dietitian, Registered
1575 SANTA BARBARA BLVD
THE VILLAGES, FL 32159

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 Centerwell Senior Primary Care Vitality Inc's NPI number?

The NPI number for Centerwell Senior Primary Care Vitality Inc is 1477425429. It was assigned to this organization in the NPPES registry on September 19, 2025.

Where is Centerwell Senior Primary Care Vitality Inc located?

Centerwell Senior Primary Care Vitality Inc is located at 1575 Santa Barbara Blvd, The Villages, FL 32159. The listed phone number is (352) 674-1740.

What is Centerwell Senior Primary Care Vitality Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Centerwell Senior Primary Care Vitality Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2062829) is associated with this NPI, valid through July 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Centerwell Senior Primary Care Vitality Inc accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Centerwell Senior Primary Care Vitality Inc 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 Centerwell Senior Primary Care Vitality Inc was last updated on September 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.