CENTERWELL SENIOR PRIMARY CARE TN CS PC
NPI 1992689467
Internal Medicine in Miami, FL

Q: What is Centerwell Senior Primary Care Tn Cs PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since August 05, 2025

6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126(407) 447-7120(407) 770-0661 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 19, 2025, Aug 5, 2025 (2 updates tracked since 2025).

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About Centerwell Senior Primary Care Tn Cs Pc NPPES

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

CENTERWELL SENIOR PRIMARY CARE TN CS PC (NPI 1992689467) is a healthcare organization registered as an internal medicine in Miami, Florida and active in the NPI registry since August 2025. The organization maintains a secondary practice location in Clarksville and lists Angie S Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1992689467

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameCENTERWELL SENIOR PRIMARY CARE TN CS PC

Location Address6101 BLUE LAGOON DR STE 200Miami, FL 33126-3168

Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (407) 447-7120 · Fax (407) 770-0661

Phone(407) 447-7120

Fax(407) 770-0661

Organization SubpartNo

Authorized OfficialAngie S MartinezSenior Credentialing Professional · (407) 447-7120

Enumeration DateAugust 5, 2025

Last NPPES UpdateSeptember 19, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 19, 2025

✔ NPI 1992689467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedGeneral PracticeTaxonomy 208D00000X

6101 BLUE LAGOON DR STE 200, Miami, FL 33126

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Secondary Practice Location 1

Location 11947 Madison St Ste BClarksville, TN 37043-8033 · Phone (407) 447-7120

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)

Centerwell Senior Primary Care Tn Cs Pc 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 Centerwell Senior Primary Care Tn Cs PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Anitha Mullangi, M.D

Family Practice

NPI 1972722254

4901 NOLENSVILLE PIKE
Nashville, TN 37211

(615) 575-3783

✔ PECOS804 mi

Damien Bailey, APRN

Nurse Practitioner

NPI 1043518087

885 3RD AVE
New York, NY 10022

(855) 766-3760

✔ PECOS✔ Accepts Medicare1,094 mi

Dekozlymn Anderson, CRNP

Nurse Practitioner

NPI 1134556061

9515 W CAMELBACK RD STE 136&138
Phoenix, AZ 85037

(850) 304-7986

✔ PECOS1,987 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Centerwell Senior Primary Care Tn Cs PC's NPI number?

The NPI number for Centerwell Senior Primary Care Tn Cs PC is 1992689467. It was assigned to this organization in the NPPES registry on August 5, 2025.

Where is Centerwell Senior Primary Care Tn Cs PC located?

Centerwell Senior Primary Care Tn Cs PC is located at 6101 Blue Lagoon Dr Ste 200, Miami, FL 33126. The listed phone number is (407) 447-7120.

What is Centerwell Senior Primary Care Tn Cs PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Centerwell Senior Primary Care Tn Cs PC enrolled in Medicare?

Yes. Centerwell Senior Primary Care Tn Cs PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Centerwell Senior Primary Care Tn Cs PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Centerwell Senior Primary Care Tn Cs PC, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Centerwell Senior Primary Care Tn Cs PC was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.