LARGO PHYSICIAN GROUP, LLC
NPI 1578732889
Pediatrics in Brooksville, FL
About Largo Physician Group, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LARGO PHYSICIAN GROUP, LLC (NPI 1578732889) is a healthcare organization registered as a pediatrics in Brooksville, Florida and active in the NPI registry since February 2008. The organization lists William Tedrick Johnson, Division Vp/ao, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 7
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Largo Physician Group, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Largo Physician Group, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (13)
Tyndall Afb, FL 32403
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 Largo Physician Group, LLC's NPI number?
The NPI number for Largo Physician Group, LLC is 1578732889. It was assigned to this organization in the NPPES registry on February 21, 2008.
Where is Largo Physician Group, LLC located?
Largo Physician Group, LLC is located at 11373 Cortez Blvd Ste 408, Brooksville, FL 34613. The listed phone number is (352) 592-7310.
What is Largo Physician Group, LLC's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Largo Physician Group, LLC enrolled in Medicare?
Yes. Largo Physician Group, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Largo Physician Group, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 3 Medicare specialties reassign their Medicare billing to Largo Physician 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 Dermatology (6), Internal Medicine (4) and Family Practice (3). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Largo Physician 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 2 other insurers list Largo Physician 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 Largo Physician Group, LLC 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 6 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.
# Largo Physician Group, Llc · NPI 1578732889
Pediatrics organization in Brooksville, Florida. Organization record, active in the CMS NPPES registry since February 21, 2008.
## Identity
- **NPI:** 1578732889 (Entity type: Organization)
- **Enumerated:** February 21, 2008
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **Organization subpart:** No
- **Authorized official:** William Johnson, DIVISION VP/AO
## Practice location
- **Address:** 11373 CORTEZ BLVD STE 408, Brooksville, FL 34613-5406
- **Phone:** (352) 592-7310
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (6), Internal Medicine (4), Family Practice (3); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 21, 2020
- **Other identifiers:** Other 000757301 (FL); Other 72062A (FL); Other 000757300 (FL); and 4 more
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Source: [NPI Profile](https://npiprofile.com/npi/1578732889) · Data from the CMS NPPES public registry.