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INTERNAL MEDICINE MD LLC
NPI 1801683388
Internal Medicine in Trinity, FL

Active since April 21, 2025CLIA 10D2322959 · Waiver
3633 LITTLE RD STE 103, TRINITY, FL 34655(727) 997-1635(727) 232-6506 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Internal Medicine Md Llc NPPES

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

INTERNAL MEDICINE MD LLC (NPI 1801683388) is a healthcare organization registered as an internal medicine in Trinity, Florida and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through April 29, 2027 and lists John Hanna, Owner, as its authorized official.

NPPES Registry Identity

NPI1801683388
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameINTERNAL MEDICINE MD LLC
Location Address3633 LITTLE RD STE 103Trinity, FL 34655-1815
Mailing Address3633 Little Rd Ste 103Trinity, FL 34655-1815 · (727) 997-1635 · Fax (727) 232-6506
Phone(727) 997-1635
Fax(727) 232-6506
Organization SubpartNo
Authorized OfficialJohn HannaOwner · (727) 605-3000
Enumeration DateApril 21, 2025
NPPES CertifiedApril 21, 2025
✔ NPI 1801683388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
3633 LITTLE RD STE 103, Trinity, FL 34655
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Other Identifiers 1

Medicaid115462100FL

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Internal Medicine Md Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Internal Medicine MD LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Amanda Durrett, FNP
Nurse Practitioner
NPI 1003644055
14153 YOSEMITE DR STE 104
Hudson, FL 34667
(727) 605-3000
✔ PECOS✔ Accepts Medicare10 mi
John Hanna, MD
Internal Medicine
NPI 1548765464
14153 YOSEMITE DR STE 104
Hudson, FL 34667
(727) 605-3000
✔ PECOS✔ Accepts Medicare10 mi
Miranda Mcwhirter, AGACNP-BC
Nurse Practitioner
NPI 1124896766
14153 YOSEMITE DR STE 104
Hudson, FL 34667
(727) 605-3000
✔ PECOS✔ Accepts Medicare10 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 2

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 10D2322959

Internal Medicine MD LLC · Trinity, FL
Active · expires Apr 29, 2027
CLIA Number10D2322959
Laboratory TypePhysician Office
Certificate Effective DateApril 30, 2025
Certificate Expiration DateApril 29, 2027
Laboratory DirectorJohn Hanna
Laboratory Phone(727) 997-1635
Laboratory LocationInternal Medicine MD LLC3633 Little Rd, Suite 103, Trinity, FL 34655
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2270599

Internal Medicine MD, LLC · Hudson, FL
Expired · Oct 17, 2026
CLIA Number10D2270599
Laboratory TypePhysician Office
Certificate Effective DateOctober 18, 2024
Certificate Expiration DateOctober 17, 2026
Laboratory DirectorJohn Hanna
Laboratory Phone(727) 605-3000
Laboratory LocationInternal Medicine MD, LLC14153 Yosemite Dr, Ste 104, Hudson, FL 34667
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 Internal Medicine MD LLC's NPI number?

The NPI number for Internal Medicine MD LLC is 1801683388. It was assigned to this organization in the NPPES registry on April 21, 2025.

Where is Internal Medicine MD LLC located?

Internal Medicine MD LLC is located at 3633 Little Rd Ste 103, Trinity, FL 34655. The listed phone number is (727) 997-1635.

What is Internal Medicine MD LLC's specialty?

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

Is Internal Medicine MD LLC enrolled in Medicare?

Yes. Internal Medicine MD LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Internal Medicine MD LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Internal Medicine MD LLC, in Internal Medicine and Nurse Practitioner. 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 Internal Medicine MD LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2322959) is associated with this NPI, valid through April 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Internal Medicine MD LLC was last updated on April 21, 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.