COMMUNITY HOSPITAL FAMILY PRACTICE LLC - NPI 1639831449

Q: What is Community Hospital Family Practice LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

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About Community Hospital Family Practice Llc NPPES

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

COMMUNITY HOSPITAL FAMILY PRACTICE LLC (NPI 1639831449) is a healthcare organization registered as a surgery in Brooksville, Florida and active in the NPI registry since October 2021. The organization holds a CLIA Waiver certificate valid through May 10, 2027 and lists William Tedrick Johnson, Vice President, as its authorized official.

NPPES Registry Identity

NPI1639831449

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameCOMMUNITY HOSPITAL FAMILY PRACTICE LLC

Location Address11371 CORTEZ BLVD STE 115Brooksville, FL 34613-5408

Mailing Address2000 Health Park DrBrentwood, TN 37027-4692 · (615) 372-5426

Phone(352) 592-0220

Organization SubpartYes

Authorized OfficialWilliam Tedrick JohnsonVice President · (615) 372-3375

Enumeration DateOctober 8, 2021

NPPES CertifiedOctober 8, 2021

✔ NPI 1639831449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

11371 CORTEZ BLVD STE 115, Brooksville, FL 34613

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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 10D2095704

Community Hospital Family Practice LLC · Brooksville, FL

Active · expires May 10, 2027

CLIA Number10D2095704

Laboratory TypePhysician Office

Certificate Effective DateMay 11, 2025

Certificate Expiration DateMay 10, 2027

Laboratory DirectorNiloufer Kero

Laboratory Phone(352) 596-8911

Laboratory LocationCommunity Hospital Family Practice LLC11371 Cortez Blvd Ste #223, Brooksville, FL 34613

CLIA data matches this NPI record on: Name

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 Community Hospital Family Practice LLC's NPI number?

The NPI number for Community Hospital Family Practice LLC is 1639831449. It was assigned to this organization in the NPPES registry on October 8, 2021.

Where is Community Hospital Family Practice LLC located?

Community Hospital Family Practice LLC is located at 11371 Cortez Blvd Ste 115, Brooksville, FL 34613. The listed phone number is (352) 592-0220.

What is Community Hospital Family Practice LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Does Community Hospital Family Practice LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2095704) is associated with this NPI, valid through May 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Community Hospital Family Practice LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Community Hospital Family Practice 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 Community Hospital Family Practice LLC was last updated on October 8, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.