PARKER FAMILY MEDICINE PLLC
NPI 1780486506
Clinic/Center - Primary Care in Fort Myers, FL

Active since March 24, 2025
17595 S TAMIAMI TRL STE 101, FORT MYERS, FL 33908(239) 236-9530(239) 482-4994 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Parker Family Medicine Pllc NPPES

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

PARKER FAMILY MEDICINE PLLC (NPI 1780486506) is a healthcare organization registered as a primary care in Fort Myers, Florida and active in the NPI registry since March 2025. The organization lists Edsel James Parker, Owner, as its authorized official.

NPPES Registry Identity

NPI1780486506
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePARKER FAMILY MEDICINE PLLC
Location Address17595 S TAMIAMI TRL STE 101Fort Myers, FL 33908-4500
Mailing Address17595 S Tamiami Trl Ste 101Fort Myers, FL 33908-4500 · (239) 236-9530
Fax(239) 482-4994
Organization SubpartNo
Authorized OfficialEdsel James ParkerOwner · (239) 236-9530
Enumeration DateMarch 24, 2025
NPPES CertifiedMarch 24, 2025
✔ NPI 1780486506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
17595 S TAMIAMI TRL STE 101, Fort Myers, FL 33908

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Parker Family Medicine 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 Parker Family Medicine PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1679237242
17595 S TAMIAMI TRL STE 101
Fort Myers, FL 33908
(239) 236-9530
✔ PECOSSame address

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 Parker Family Medicine PLLC's NPI number?

The NPI number for Parker Family Medicine PLLC is 1780486506. It was assigned to this organization in the NPPES registry on March 24, 2025.

Where is Parker Family Medicine PLLC located?

Parker Family Medicine PLLC is located at 17595 S Tamiami Trl Ste 101, Fort Myers, FL 33908. The listed phone number is (239) 236-9530.

What is Parker Family Medicine PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Parker Family Medicine PLLC enrolled in Medicare?

Yes. Parker Family Medicine PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Parker Family Medicine PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Parker Family Medicine 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.

When was this NPI record last updated?

The NPPES record for Parker Family Medicine PLLC was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.