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CONVIVA STUART
NPI 1679149629
Internal Medicine in Stuart, FL

Active since June 01, 2021CLIA 10D2348419 · Waiver
1233 SE INDIAN ST STE 103, STUART, FL 34997(772) 286-0552(877) 361-4852 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Conviva Stuart NPPES

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

CONVIVA STUART (NPI 1679149629) is a healthcare organization registered as an internal medicine in Stuart, Florida and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through August 4, 2028 and lists Kevin Meriwether, President, as its authorized official.

NPPES Registry Identity

NPI1679149629
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCONVIVA MEDICAL CENTER MANAGEMENT LLC
Location Address1233 SE INDIAN ST STE 103Stuart, FL 34997-5689
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000
Phone(772) 286-0552
Fax(877) 361-4852
Organization SubpartYes
Authorized OfficialKevin MeriwetherPresident · (305) 500-2000
Enumeration DateJune 1, 2021
Last NPPES UpdateMay 21, 2024
NPPES CertifiedMay 21, 2024
✔ NPI 1679149629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedGeneral PracticeTaxonomy 208D00000X
1233 SE INDIAN ST STE 103, Stuart, FL 34997
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Other Names 1

Other NameConviva Stuart

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

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 10D2348419

Conviva Medical Center Management LLC Dba Conviva Senior Primary Care · Stuart, FL
Active · expires Aug 4, 2028
CLIA Number10D2348419
Laboratory TypePhysician Office
Certificate Effective DateAugust 5, 2026
Certificate Expiration DateAugust 4, 2028
Laboratory DirectorAshley M. Debay
Laboratory Phone(772) 249-1230
Laboratory LocationConviva Medical Center Management LLC Dba Conviva Senior Primary Care5595 SE Grouper Ave, Stuart, FL 34997
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANA ANDREA FLEMING NP-C
Nurse Practitioner (Family)
1233 SE INDIAN ST STE 103
STUART, FL 34997
Martin County (772) 286-0552
DR. PETER E SCHOTTLANDER M.D.
Internal Medicine
1233 SE INDIAN ST STE 103
STUART, FL 34997
Martin County (772) 286-0552

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 Conviva Medical Center Management LLC's NPI number?

The NPI number for Conviva Medical Center Management LLC is 1679149629. It was assigned to this organization in the NPPES registry on June 1, 2021. The provider is also known as Conviva Stuart.

Where is Conviva Medical Center Management LLC located?

Conviva Medical Center Management LLC is located at 1233 SE Indian St Ste 103, Stuart, FL 34997. The listed phone number is (772) 286-0552.

What is Conviva Medical Center Management LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Conviva Medical Center Management LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2348419) is associated with this NPI, valid through August 4, 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 Conviva Medical Center Management LLC was last updated on May 21, 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.