INNOVATIVE GYNECOLOGY & OBSTETRICS, PA
NPI 1609322684
Obstetrics & Gynecology in Lakeland, FL

Active since August 30, 2016CLIA 10D2128553 · Waiver
1718 MOCKINGBIRD LN, LAKELAND, FL 33801(863) 529-1338 Get Directions Write a Review

NPPES record last updated: August 30, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Innovative Gynecology & Obstetrics, Pa NPPES

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

INNOVATIVE GYNECOLOGY & OBSTETRICS, PA (NPI 1609322684) is a healthcare organization registered as an obstetrics & gynecology in Lakeland, Florida and active in the NPI registry since August 2016. The organization holds a CLIA Waiver certificate valid through April 2, 2027 and lists Pamela Schwartz, Ceo/cmo, as its authorized official.

NPPES Registry Identity

NPI1609322684
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameINNOVATIVE GYNECOLOGY & OBSTETRICS, PA
Location Address1718 MOCKINGBIRD LNLakeland, FL 33801-5948
Mailing Address825 Whisper Woods DrLakeland, FL 33813-5651 · (863) 529-1338
Organization SubpartNo
Authorized OfficialPamela SchwartzCeo/cmo · (863) 529-1338
Enumeration DateAugust 30, 2016
✔ NPI 1609322684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1718 MOCKINGBIRD LN, Lakeland, FL 33801

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Innovative Gynecology & Obstetrics, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Innovative Gynecology & Obstetrics, PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Obstetrics/Gynecology
NPI 1205809639
515 S KINGS AVE STE 3000
Brandon, FL 33511
(813) 681-6625
✔ PECOS✔ Accepts Medicare23 mi

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 10D2128553

Innovative Gynecology And Obstetrics PA · Lakeland, FL
Active · expires Apr 2, 2027
CLIA Number10D2128553
Laboratory TypePhysician Office
Certificate Effective DateApril 3, 2025
Certificate Expiration DateApril 2, 2027
Laboratory DirectorPamela S. Schwartz
Laboratory Phone(863) 272-1550
Laboratory LocationInnovative Gynecology And Obstetrics PA1718 Mockingbird Lane, Lakeland, FL 33801
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

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 Innovative Gynecology & Obstetrics, PA's NPI number?

The NPI number for Innovative Gynecology & Obstetrics, PA is 1609322684. It was assigned to this organization in the NPPES registry on August 30, 2016.

Where is Innovative Gynecology & Obstetrics, PA located?

Innovative Gynecology & Obstetrics, PA is located at 1718 Mockingbird Ln, Lakeland, FL 33801. The listed phone number is (863) 529-1338.

What is Innovative Gynecology & Obstetrics, PA's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Innovative Gynecology & Obstetrics, PA enrolled in Medicare?

Yes. Innovative Gynecology & Obstetrics, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Innovative Gynecology & Obstetrics, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Innovative Gynecology & Obstetrics, PA. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Innovative Gynecology & Obstetrics, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2128553) is associated with this NPI, valid through April 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Innovative Gynecology & Obstetrics, PA was last updated on August 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.