MILLENNIUM PHYSICIAN GROUP LLC
NPI 1851063515
Family Medicine in Naples, FL

Q: What is Millennium Physician Group LLC's NPI number?

The NPI number for Millennium Physician Group LLC is 1851063515. It was assigned to this organization in the NPPES registry on October 1, 2021.

Q: What is Millennium Physician Group LLC's specialty?

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

Active since October 01, 2021CLIA Certified · 3 labs

4525 THOMASSON DR, NAPLES, FL 34112(239) 732-1050(239) 732-1054 Get Directions Write a Review

NPPES record last updated: January 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 19, 2023, Oct 1, 2021 (2 updates tracked since 2021).

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About Millennium Physician Group Llc NPPES

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

MILLENNIUM PHYSICIAN GROUP LLC (NPI 1851063515) is a healthcare organization registered as a family medicine in Naples, Florida and active in the NPI registry since October 2021. The organization holds 3 active CLIA laboratory certificates and lists Mary Haltigan, Director Of Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1851063515

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameMILLENNIUM PHYSICIAN GROUP LLC

Location Address4525 THOMASSON DRNaples, FL 34112-6962

Mailing Address2675 Winkler Ave Fl 2Fort Myers, FL 33901-9342 · (877) 856-3774 · Fax (239) 599-2612

Phone(239) 732-1050

Fax(239) 732-1054

Organization SubpartNo

Authorized OfficialMary HaltiganDirector Of Revenue Cycle · (877) 856-3774

Enumeration DateOctober 1, 2021

Last NPPES UpdateJanuary 19, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 19, 2023

✔ NPI 1851063515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

4525 THOMASSON DR, Naples, FL 34112

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

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 10D2014331

Millennium Physician Group LLC · Naples, FL

Active · expires Oct 5, 2026

CLIA Number10D2014331

Laboratory TypePhysician Office

Certificate Effective DateOctober 6, 2024

Certificate Expiration DateOctober 5, 2026

Laboratory DirectorDr. Julia Harris

Laboratory Phone(941) 235-3447

Laboratory LocationMillennium Physician Group LLC4525 Thomasson Dr Ste 103, Naples, FL 34112

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2251047

Millennium Physician Group, LLC · Naples, FL

Active · expires Jan 31, 2028

CLIA Number10D2251047

Laboratory TypePhysician Office

Certificate Effective DateFebruary 1, 2026

Certificate Expiration DateJanuary 31, 2028

Laboratory DirectorIvana Paz

Laboratory Phone(941) 787-7665

Laboratory LocationMillennium Physician Group, LLC6615 Hillway Circle - Ste 201, Naples, FL 34112

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D0874383

Millennium Physician Group, LLC · Naples, FL

Active · expires Aug 5, 2027

CLIA Number10D0874383

Laboratory TypePhysician Office

Certificate Effective DateAugust 6, 2025

Certificate Expiration DateAugust 5, 2027

Laboratory DirectorFariba Ghazizadeh

Laboratory Phone(941) 787-7665

Laboratory LocationMillennium Physician Group, LLC6635 Hillway Circle - Ste 400, Naples, FL 34112

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SYDNEY KRANTZ APRN

Nurse Practitioner (Family)