COMMUNITY ROOTS HEALTH LLC
NPI 1821958406
Family Medicine in Palatka, FL

Q: What is Community Roots Health LLC's NPI number?

The NPI number for Community Roots Health LLC is 1821958406. It was assigned to this organization in the NPPES registry on November 14, 2025. The provider is doing business as Community Roots Health.

Q: What is Community Roots Health LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since November 14, 2025CLIA 10D2342751 · Waiver

700 ZEAGLER DR STE 6, PALATKA, FL 32177(386) 267-7318(386) 267-7318 Get Directions Write a Review

NPPES record last updated: July 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 22, 2025, Dec 2, 2025, Nov 22, 2025 and 1 more (4 updates tracked since 2025).

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About Community Roots Health Llc NPPES

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

COMMUNITY ROOTS HEALTH LLC (NPI 1821958406), doing business as Community Roots Health, is a healthcare organization registered as a family medicine in Palatka, Florida and active in the NPI registry since November 2025. The organization holds a CLIA Waiver certificate valid through April 26, 2028 and lists Katya Maria Tsangarakis, Owner, as its authorized official.

NPPES Registry Identity

NPI1821958406

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameCOMMUNITY ROOTS HEALTH LLC

Location Address700 ZEAGLER DR STE 6Palatka, FL 32177-3826

Mailing Address700 Zeagler Dr Ste 6Palatka, FL 32177-3826 · (386) 267-7376 · Fax (386) 267-7318

Phone(386) 267-7318

Fax(386) 267-7318

Organization SubpartNo

Authorized OfficialKatya Maria TsangarakisOwner · (954) 940-0453

Enumeration DateNovember 14, 2025

Last NPPES UpdateJuly 3, 20264 updates tracked since enumeration

NPPES CertifiedJuly 3, 2026

✔ NPI 1821958406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

700 ZEAGLER DR STE 6, Palatka, FL 32177

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Other Names 2

Doing Business AsCommunity Roots Health

Doing Business AsCommunity Roots Health Llc

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)

Community Roots Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Community Roots Health LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Katya Tsangarakis, APRN

Nurse Practitioner

NPI 1306568159

700 ZEAGLER DR STE 6
Palatka, FL 32177

(386) 267-7376

✔ PECOS✔ Accepts MedicareSame address

Debra Mann, APRN, PMHNP-BC

Nurse Practitioner

NPI 1881559607

700 ZEAGLER DR STE 6
Palatka, FL 32177

(386) 385-2722

✔ PECOS✔ Accepts MedicareSame address

Johnique Bennett, M.D.

Family Practice

NPI 1538519640

2300 PARK AVE STE 205
Orange Park, FL 32073

(904) 272-0384

✔ PECOS✔ Accepts Medicare36 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 10D2342751

Community Roots Health LLC · Palatka, FL

Active · expires Apr 26, 2028

CLIA Number10D2342751

Laboratory TypePractitioner Other

Certificate Effective DateApril 27, 2026

Certificate Expiration DateApril 26, 2028

Laboratory DirectorGurnoor Singh

Laboratory Phone(904) 325-6423

Laboratory LocationCommunity Roots Health LLC700 Zeagler Dr Suite 6, Palatka, FL 32177

CLIA data matches this NPI record on: Address Name

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 Community Roots Health LLC's NPI number?

The NPI number for Community Roots Health LLC is 1821958406. It was assigned to this organization in the NPPES registry on November 14, 2025. The provider is doing business as Community Roots Health.

Where is Community Roots Health LLC located?

Community Roots Health LLC is located at 700 Zeagler Dr Ste 6, Palatka, FL 32177. The listed phone number is (386) 267-7318.

What is Community Roots Health LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Community Roots Health LLC enrolled in Medicare?

Yes. Community Roots Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Community Roots Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Community Roots Health LLC, in Family Practice 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Community Roots Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2342751) is associated with this NPI, valid through April 26, 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 Community Roots Health LLC was last updated on July 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.