TELE MED CLINIX LLC
NPI 1780204305
Clinic/Center - Mental Health (Including Community Mental Health Center) in Sanford, FL

Active since April 23, 2020
541 N PALMETTO AVE STE 104B, SANFORD, FL 32771(321) 209-4040 Get Directions Write a Review

NPPES record last updated: May 17, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 17, 2023, Nov 16, 2020, Jun 24, 2020 and 1 more (4 updates tracked since 2020).

About Tele Med Clinix Llc NPPES

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

TELE MED CLINIX LLC (NPI 1780204305) is a healthcare organization registered as a mental health (including community mental health center) in Sanford, Florida and active in the NPI registry since April 2020. The organization lists David Knight, Owner, as its authorized official.

NPPES Registry Identity

NPI1780204305
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameTELE MED CLINIX LLC
Location Address541 N PALMETTO AVE STE 104BSanford, FL 32771-1371
Mailing Address541 N Palmetto Ave Ste 104bSanford, FL 32771-1371
Organization SubpartNo
Authorized OfficialDavid KnightOwner · (917) 635-5234
Enumeration DateApril 23, 2020
Last NPPES UpdateMay 17, 20234 updates tracked since enumeration
NPPES CertifiedMay 17, 2023
✔ NPI 1780204305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X
541 N PALMETTO AVE STE 104B, Sanford, FL 32771

Other Identifiers 1

Medicaid114165800FL

Group Practice 1

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)

Tele Med Clinix Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Tele Med Clinix LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1316573173
14518 CHERRY LAKE DR W
Jacksonville, FL 32258
(904) 629-9164
✔ PECOS91 mi
Mental Health Counselor
NPI 1194578997
13244 IRON HORSE CT
West Palm Beach, FL 33418
(561) 309-2256
✔ PECOS✔ Accepts Medicare146 mi
Psychiatry
NPI 1649437401
253 WOODBRIAR DR
Santa Rosa Beach, FL 32459
(850) 687-5990
✔ PECOS✔ Accepts Medicare312 mi
Nurse Practitioner
NPI 1659677540
9460 MILBANK DR
Shreveport, LA 71115
(318) 658-4114
✔ PECOS781 mi
Nurse Practitioner
NPI 1821375932
525 CROSSROADS BLVD
Bossier City, LA 71111
(469) 438-8002
✔ PECOS✔ Accepts Medicare784 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Tele Med Clinix LLC's NPI number?

The NPI number for Tele Med Clinix LLC is 1780204305. It was assigned to this organization in the NPPES registry on April 23, 2020.

Where is Tele Med Clinix LLC located?

Tele Med Clinix LLC is located at 541 N Palmetto Ave Ste 104B, Sanford, FL 32771. The listed phone number is (321) 209-4040.

What is Tele Med Clinix LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Tele Med Clinix LLC enrolled in Medicare?

Yes. Tele Med Clinix LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tele Med Clinix LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Tele Med Clinix LLC. 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. The largest specialties are Nurse Practitioner (3), Mental Health Counselor (1) and Psychiatry (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Tele Med Clinix LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama, Blue Cross and Blue Shield of Louisiana, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Tele Med Clinix 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 Tele Med Clinix LLC was last updated on May 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.