CAREMAX CLINIC 711 LLC
NPI 1609359249
Internal Medicine in Jacksonville, FL
About Caremax Clinic 711 Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAREMAX CLINIC 711 LLC (NPI 1609359249), doing business as Valuecare Clinic, is a healthcare organization registered as an internal medicine in Jacksonville, Florida and active in the NPI registry since September 2018. The organization holds a CLIA Waiver certificate valid through June 30, 2028, maintains a secondary practice location in Jacksonville, and lists Vipul B Mamtora, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
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)
Caremax Clinic 711 Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Caremax Clinic 711 LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (12)
Jacksonville, FL 32257
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 10D2263685
Caremax Clinic 711 LLC · Jacksonville, 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 Caremax Clinic 711 LLC's NPI number?
The NPI number for Caremax Clinic 711 LLC is 1609359249. It was assigned to this organization in the NPPES registry on September 10, 2018. The provider is doing business as ValueCare Clinic.
Where is Caremax Clinic 711 LLC located?
Caremax Clinic 711 LLC is located at 2732 Trollie Ln, Jacksonville, FL 32211. The listed phone number is (904) 289-1254.
What is Caremax Clinic 711 LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Caremax Clinic 711 LLC enrolled in Medicare?
Yes. Caremax Clinic 711 LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Caremax Clinic 711 LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 5 Medicare specialties reassign their Medicare billing to Caremax Clinic 711 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 Nurse Practitioner (5), Internal Medicine (3) and General Practice (2). Of these, 3 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Caremax Clinic 711 LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2263685) is associated with this NPI, valid through June 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Caremax Clinic 711 LLC accept?
Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Wellpoint list Caremax Clinic 711 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 Caremax Clinic 711 LLC was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Caremax Clinic 711 Llc · NPI 1609359249
Internal Medicine organization in Jacksonville, Florida. Organization record, active in the CMS NPPES registry since September 10, 2018.
## Identity
- **NPI:** 1609359249 (Entity type: Organization)
- **Enumerated:** September 10, 2018
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Also known as:** ValueCare Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Vipul Mamtora, DIRECTOR
## Practice location
- **Address:** 2732 TROLLIE LN, Jacksonville, FL 32211-3833
- **Phone:** (904) 289-1254 · **Fax:** (904) 212-0036
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Internal Medicine (3), General Practice (2); 3 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 15, 2025
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1609359249) · Data from the CMS NPPES public registry.