HIGH SPRINGS PEDIATRICS LLC
NPI 1760700637
Internal Medicine in High Springs, FL

Active since May 17, 2010CLIA 10D2003352 · Waiver
210 NW 1ST AVENUE, HIGH SPRINGS, FL 32643(386) 454-1156(386) 454-1158 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About High Springs Pediatrics Llc NPPES

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

HIGH SPRINGS PEDIATRICS LLC (NPI 1760700637) is a healthcare organization registered as an internal medicine in High Springs, Florida and active in the NPI registry since May 2010. The organization holds a CLIA Waiver certificate valid through May 5, 2027 and lists Nasir Uddin Ahmed, Owner, as its authorized official.

NPPES Registry Identity

NPI1760700637
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameHIGH SPRINGS PEDIATRICS LLC
Location Address210 NW 1ST AVENUEHigh Springs, FL 32643
Mailing Address210 Nw 1st AvenueHigh Springs, FL 32643 · (386) 454-1156 · Fax (386) 454-1158
Fax(386) 454-1158
Organization SubpartNo
Authorized OfficialNasir Uddin AhmedOwner · (386) 454-1156
Enumeration DateMay 17, 2010
Last NPPES UpdateSeptember 15, 2022
NPPES CertifiedSeptember 15, 2022
✔ NPI 1760700637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedPediatricsTaxonomy 208000000X
210 NW 1ST AVENUE, High Springs, FL 32643

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

High Springs Pediatrics Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to High Springs Pediatrics LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1831659697
19228 NW US HIGHWAY 441
High Springs, FL 32643
(386) 454-1156
✔ PECOS✔ Accepts Medicare0.3 mi
Pediatric Medicine
NPI 1326180480
19228 NW US HIGHWAY 441
High Springs, FL 32643
(386) 454-1156
✔ PECOS✔ Accepts Medicare0.3 mi

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 10D2003352

High Springs Pediatrics And Primary Care · High Springs, FL
Active · expires May 5, 2027
CLIA Number10D2003352
Laboratory TypePhysician Office
Certificate Effective DateMay 6, 2025
Certificate Expiration DateMay 5, 2027
Laboratory DirectorNasir U. Ahmed
Laboratory Phone(386) 454-1156
Laboratory LocationHigh Springs Pediatrics And Primary Care19228 NW Us Hwy 441, High Springs, FL 32643
CLIA data matches this NPI record on: Name Phone
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 High Springs Pediatrics LLC's NPI number?

The NPI number for High Springs Pediatrics LLC is 1760700637. It was assigned to this organization in the NPPES registry on May 17, 2010.

Where is High Springs Pediatrics LLC located?

High Springs Pediatrics LLC is located at 210 NW 1st Avenue, High Springs, FL 32643. The listed phone number is (386) 454-1156.

What is High Springs Pediatrics LLC's specialty?

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

Is High Springs Pediatrics LLC enrolled in Medicare?

Yes. High Springs Pediatrics LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through High Springs Pediatrics LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to High Springs Pediatrics LLC, in Internal Medicine and Pediatric Medicine. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does High Springs Pediatrics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2003352) is associated with this NPI, valid through May 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does High Springs Pediatrics LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list High Springs Pediatrics 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 High Springs Pediatrics LLC was last updated on September 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.