Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MERIDIAN MEDICAL GROUP LLC
NPI 1912815754
Nurse Practitioner - Psychiatric/Mental Health in Miami, FL

Q: What is Meridian Medical Group LLC's NPI number?

The NPI number for Meridian Medical Group LLC is 1912815754. It was assigned to this organization in the NPPES registry on September 1, 2026.

Q: What is Meridian Medical Group LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since September 01, 2026

9885 SW 123RD TERRACE, MIAMI, FL 33176(305) 396-1701(645) 231-2225 Get Directions Write a Review

NPPES record added: September 1, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Meridian Medical Group Llc NPPES

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

MERIDIAN MEDICAL GROUP LLC (NPI 1912815754) is a healthcare organization registered as a psychiatric/mental health in Miami, Florida and active in the NPI registry since September 2026. The organization lists Stephan Dimitrjevitch, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1912815754

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameMERIDIAN MEDICAL GROUP LLC

Location Address9885 SW 123RD TERRACEMiami, FL 33176

Mailing Address13818 Sw 152nd St # 216Miami, FL 33177-1164 · (305) 396-1701 · Fax (645) 231-2225

Phone(305) 396-1701

Fax(645) 231-2225

Organization SubpartNo

Authorized OfficialStephan DimitrjevitchManaging Member · (305) 396-1701

Enumeration DateSeptember 1, 2026

NPPES CertifiedAugust 28, 2026

✔ NPI 1912815754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

9885 SW 123RD TERRACE, Miami, FL 33176

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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

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 Meridian Medical Group LLC's NPI number?

The NPI number for Meridian Medical Group LLC is 1912815754. It was assigned to this organization in the NPPES registry on September 1, 2026.

Where is Meridian Medical Group LLC located?

Meridian Medical Group LLC is located at 9885 SW 123rd Terrace, Miami, FL 33176. The listed phone number is (305) 396-1701.

What is Meridian Medical Group LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Meridian Medical Group LLC was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.