NORTH FLORIDA PRIMARY CARE PLLC
NPI 1760093702
Internal Medicine in Lake City, FL
About North Florida Primary Care Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTH FLORIDA PRIMARY CARE PLLC (NPI 1760093702) is a healthcare organization registered as an internal medicine in Lake City, Florida and active in the NPI registry since August 2020. The organization holds a CLIA Waiver certificate valid through November 15, 2028 and lists Michael C Ukaegbu, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
North Florida Primary Care Pllc 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 North Florida Primary Care PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 10D2200577
North Florida Primary Care, PLLC · Lake City, 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 North Florida Primary Care PLLC's NPI number?
The NPI number for North Florida Primary Care PLLC is 1760093702. It was assigned to this organization in the NPPES registry on August 13, 2020.
Where is North Florida Primary Care PLLC located?
North Florida Primary Care PLLC is located at 4243 SW Cambridge Gln, Lake City, FL 32024. The listed phone number is (386) 292-7744.
What is North Florida Primary Care PLLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is North Florida Primary Care PLLC enrolled in Medicare?
Yes. North Florida Primary Care PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through North Florida Primary Care PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to North Florida Primary Care PLLC. 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 North Florida Primary Care PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2200577) is associated with this NPI, valid through November 15, 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 North Florida Primary Care PLLC was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# North Florida Primary Care Pllc · NPI 1760093702
Internal Medicine organization in Lake City, Florida. Organization record, active in the CMS NPPES registry since August 13, 2020.
## Identity
- **NPI:** 1760093702 (Entity type: Organization)
- **Enumerated:** August 13, 2020
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Michael Ukaegbu, OWNER
## Practice location
- **Address:** 4243 SW CAMBRIDGE GLN, Lake City, FL 32024-3431
- **Phone:** (386) 292-7744 · **Fax:** (386) 719-7096
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 6, 2025
- **Other identifiers:** Medicaid 010767000 (FL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1760093702) · Data from the CMS NPPES public registry.