SPECIALIST DOCTORS GROUP LLC
NPI 1487963864
Family Medicine in Plant City, FL
About Specialist Doctors Group Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SPECIALIST DOCTORS GROUP LLC (NPI 1487963864) is a healthcare organization registered as a family medicine in Plant City, Florida and active in the NPI registry since October 2010. The organization holds a CLIA Waiver certificate valid through April 19, 2027 and lists Michael Salvato, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Specialist Doctors Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Specialist Doctors Group LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
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 10D2023319
Specialist Doctors Group LLC · Plant City, FLFrequently 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 Specialist Doctors Group LLC's NPI number?
The NPI number for Specialist Doctors Group LLC is 1487963864. It was assigned to this organization in the NPPES registry on October 1, 2010.
Where is Specialist Doctors Group LLC located?
Specialist Doctors Group LLC is located at 210 N Alexander St, Plant City, FL 33563. The listed phone number is (813) 752-7222.
What is Specialist Doctors Group LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Specialist Doctors Group LLC enrolled in Medicare?
Yes. Specialist Doctors Group LLC is registered in the Medicare PECOS enrollment system.
When is Specialist Doctors Group LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Specialist Doctors Group LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Specialist Doctors Group 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. The largest specialties are Podiatry (4), Nurse Practitioner (2) and Family Practice (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Specialist Doctors Group LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2023319) is associated with this NPI, valid through April 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Specialist Doctors Group LLC accept?
Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Specialist Doctors Group 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 Specialist Doctors Group LLC was last updated on March 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Specialist Doctors Group Llc · NPI 1487963864
Family Medicine organization in Plant City, Florida. Organization record, active in the CMS NPPES registry since October 1, 2010.
## Identity
- **NPI:** 1487963864 (Entity type: Organization)
- **Enumerated:** October 1, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Michael Salvato, MEDICAL DIRECTOR
## Practice location
- **Address:** 210 N ALEXANDER ST, Plant City, FL 33563-4302
- **Phone:** (813) 752-7222 · **Fax:** (813) 752-7255
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 7 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Podiatry (4), Nurse Practitioner (2), Family Practice (1); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 23, 2015
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1487963864) · Data from the CMS NPPES public registry.