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ADVANTAGE PRIMARY CARE, PLLC
NPI 1871062307
Family Medicine in Dunnellon, FL

Active since November 14, 2018CLIA 10D2158251 · Waiver
20212 E PENNSYLVANIA AVE STE B, DUNNELLON, FL 34432(352) 484-0422(352) 484-1430 Get Directions Write a Review

NPPES record last updated: November 14, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Advantage Primary Care, Pllc NPPES

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

ADVANTAGE PRIMARY CARE, PLLC (NPI 1871062307) is a healthcare organization registered as a family medicine in Dunnellon, Florida and active in the NPI registry since November 2018. The organization holds a CLIA Waiver certificate valid through November 25, 2026 and lists Tracy L Riddle, Owner/practitioner, as its authorized official.

NPPES Registry Identity

NPI1871062307
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameADVANTAGE PRIMARY CARE, PLLC
Location Address20212 E PENNSYLVANIA AVE STE BDunnellon, FL 34432-6032
Mailing Address20212 E Pennsylvania Ave Ste BDunnellon, FL 34432-6032 · (352) 484-0422 · Fax (352) 484-1430
Phone(352) 484-0422
Fax(352) 484-1430
Organization SubpartNo
Authorized OfficialTracy L RiddleOwner/practitioner · (352) 484-0422
Enumeration DateNovember 14, 2018
✔ NPI 1871062307 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.
20212 E PENNSYLVANIA AVE STE B, Dunnellon, FL 34432
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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

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 10D2158251

Advantage Primary Care · Dunnellon, FL
Active · expires Nov 25, 2026
CLIA Number10D2158251
Laboratory TypePhysician Office
Certificate Effective DateNovember 26, 2024
Certificate Expiration DateNovember 25, 2026
Laboratory DirectorTracy Riddle
Laboratory Phone(352) 484-0422
Laboratory LocationAdvantage Primary Care20212 E Pennsylvania Ave Ste B, Dunnellon, FL 34432
CLIA data matches this NPI record on: Address 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 Advantage Primary Care, PLLC's NPI number?

The NPI number for Advantage Primary Care, PLLC is 1871062307. It was assigned to this organization in the NPPES registry on November 14, 2018.

Where is Advantage Primary Care, PLLC located?

Advantage Primary Care, PLLC is located at 20212 E Pennsylvania Ave Ste B, Dunnellon, FL 34432. The listed phone number is (352) 484-0422.

What is Advantage Primary Care, PLLC's specialty?

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

Does Advantage Primary Care, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2158251) is associated with this NPI, valid through November 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advantage Primary Care, PLLC was last updated on November 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.