CENTERWELL SENIOR PRIMARY CARE OF SOUTHCHASE
NPI 1598527848
Internal Medicine in Orlando, FL
About Centerwell Senior Primary Care Of Southchase NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTERWELL SENIOR PRIMARY CARE OF SOUTHCHASE (NPI 1598527848) is a healthcare organization registered as an internal medicine in Orlando, Florida and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through April 30, 2028 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Centerwell Senior Primary Care Of Southchase is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
122Medicare enrollment records show 122 clinicians reassign Medicare billing to Centerwell Senior Primary Care Of Southchase, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 27 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 122Orlando, FL 32837
Orlando, FL 32837
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 10D2303791
Centerwell Senior Primary Care Of Southchase · Orlando, 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 Centerwell Senior Primary Care Fl Inc.'s NPI number?
The NPI number for Centerwell Senior Primary Care Fl Inc. is 1598527848. It was assigned to this organization in the NPPES registry on January 23, 2024. The provider is doing business as Centerwell Senior Primary Care Of Southchase.
Where is Centerwell Senior Primary Care Fl Inc. located?
Centerwell Senior Primary Care Fl Inc. is located at 12402 S Orange Blossom Trl Ste 6, Orlando, FL 32837. The listed phone number is (407) 541-0114.
What is Centerwell Senior Primary Care Fl Inc.'s specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Centerwell Senior Primary Care Fl Inc. enrolled in Medicare?
Yes. Centerwell Senior Primary Care Fl Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Centerwell Senior Primary Care Fl Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 122 clinicians in 6 Medicare specialties reassign their Medicare billing to Centerwell Senior Primary Care Fl Inc.. 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 Nurse Practitioner (42), Family Practice (27) and General Practice (27). Of these, 2 practice at this address and 27 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Centerwell Senior Primary Care Fl Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2303791) is associated with this NPI, valid through April 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Centerwell Senior Primary Care Fl Inc. was last updated on May 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Centerwell Senior Primary Care Of Southchase · NPI 1598527848
Internal Medicine organization in Orlando, Florida. Organization record, active in the CMS NPPES registry since January 23, 2024.
## Identity
- **NPI:** 1598527848 (Entity type: Organization)
- **Enumerated:** January 23, 2024
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Legal business name:** Centerwell Senior Primary Care Fl Inc.
- **Organization subpart:** Yes (part of Centerwell Senior Primary Care Fl Inc.)
- **Authorized official:** Angie Martinez, SENIOR CREDENTIALING PROFESSIONAL
## Practice location
- **Address:** 12402 S ORANGE BLOSSOM TRL STE 6, Orlando, FL 32837-6539
- **Phone:** (407) 541-0114
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 122 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (42), Family Practice (27), General Practice (27); 2 practice at this address and 27 within 10 miles; [full list](https://npiprofile.com/npi/1598527848/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 10, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1598527848) · Data from the CMS NPPES public registry.