LAKE WORTH MEDICAL CLINIC CORP
NPI 1881220861
Family Medicine in Greenacres, FL
About Lake Worth Medical Clinic Corp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKE WORTH MEDICAL CLINIC CORP (NPI 1881220861) is a healthcare organization registered as a family medicine in Greenacres, Florida and active in the NPI registry since March 2020. The organization holds a CLIA Waiver certificate valid through April 13, 2027 and lists Rosa Maria Smith, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Group Practice 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lake Worth Medical Clinic Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Lake Worth Medical Clinic Corp, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
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 10D2220710
Lake Worth Medical Clinic Corp · Greenacres, FLFrequently 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 Lake Worth Medical Clinic Corp's NPI number?
The NPI number for Lake Worth Medical Clinic Corp is 1881220861. It was assigned to this organization in the NPPES registry on March 21, 2020.
Where is Lake Worth Medical Clinic Corp located?
Lake Worth Medical Clinic Corp is located at 6295 Lake Worth Rd Ste 30, Greenacres, FL 33463. The listed phone number is (561) 377-7006.
What is Lake Worth Medical Clinic Corp's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Lake Worth Medical Clinic Corp enrolled in Medicare?
Yes. Lake Worth Medical Clinic Corp is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lake Worth Medical Clinic Corp?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Lake Worth Medical Clinic Corp, in General 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Lake Worth Medical Clinic Corp hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2220710) is associated with this NPI, valid through April 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Lake Worth Medical Clinic Corp accept?
Health plans from Florida Blue (BlueCross BlueShield FL) list Lake Worth Medical Clinic Corp as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Lake Worth Medical Clinic Corp was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Lake Worth Medical Clinic Corp · NPI 1881220861
Family Medicine organization in Greenacres, Florida. Organization record, active in the CMS NPPES registry since March 21, 2020.
## Identity
- **NPI:** 1881220861 (Entity type: Organization)
- **Enumerated:** March 21, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Rosa Smith, PRESIDENT
## Practice location
- **Address:** 6295 LAKE WORTH RD STE 30, Greenacres, FL 33463-3034
- **Phone:** (561) 377-7006
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: General Practice (1), Nurse Practitioner (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 5, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1881220861) · Data from the CMS NPPES public registry.