UPPERLINE HEALTHCARE PC
NPI 1679209803
Podiatrist - Foot & Ankle Surgery in Ponte Vedra Beach, FL

Active since July 29, 2022CLIA 10D2341540 · Waiver
240 PONTE VEDRA PARK DR STE 150, PONTE VEDRA BEACH, FL 32082(904) 643-2124 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 2, 2026, Apr 5, 2023, Jul 29, 2022 (3 updates tracked since 2022).

About Upperline Healthcare Pc NPPES

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

UPPERLINE HEALTHCARE PC (NPI 1679209803) is a healthcare organization registered as a foot & ankle surgery in Ponte Vedra Beach, Florida and active in the NPI registry since July 2022. The organization holds a CLIA Waiver certificate valid through April 2, 2028 and lists Michael King, President, as its authorized official.

NPPES Registry Identity

NPI1679209803
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameUPPERLINE HEALTHCARE PC
Location Address240 PONTE VEDRA PARK DR STE 150Ponte Vedra Beach, FL 32082-6612
Mailing Address4101 Charlotte Ave Ste F185Nashville, TN 37209-4066
Organization SubpartNo
Authorized OfficialMichael KingPresident · (407) 219-5402
Enumeration DateJuly 29, 2022
Last NPPES UpdateJune 2, 20263 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
NPI 1679209803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
240 PONTE VEDRA PARK DR STE 150, Ponte Vedra Beach, FL 32082

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

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 10D2341540

Upperline Healthcare PC · Ponte Vedra Beach, FL
Active · expires Apr 2, 2028
CLIA Number10D2341540
Laboratory TypePhysician Office
Certificate Effective DateApril 3, 2026
Certificate Expiration DateApril 2, 2028
Laboratory DirectorLori N. Star
Laboratory Phone(713) 392-2400
Laboratory LocationUpperline Healthcare PC240 Ponte Vedra Park Drive, Unit 150, Ponte Vedra Beach, FL 32082
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Podiatrist (Foot & Ankle Surgery)
240 PONTE VEDRA PARK DR STE 150
PONTE VEDRA, FL 32082
Chiropractor
240 PONTE VEDRA PARK DR STE 150
PONTE VEDRA, FL 32082
Podiatrist (Foot & Ankle Surgery)
240 PONTE VEDRA PARK DR STE 150
PONTE VEDRA BEACH, FL 32082

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 Upperline Healthcare PC's NPI number?

The NPI number for Upperline Healthcare PC is 1679209803. It was assigned to this organization in the NPPES registry on July 29, 2022.

Where is Upperline Healthcare PC located?

Upperline Healthcare PC is located at 240 Ponte Vedra Park Dr Ste 150, Ponte Vedra Beach, FL 32082. The listed phone number is (904) 643-2124.

What is Upperline Healthcare PC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Does Upperline Healthcare PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2341540) is associated with this NPI, valid through April 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Upperline Healthcare PC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 30 other insurers list Upperline Healthcare PC 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 Upperline Healthcare PC was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.