Community Hospital Family Practice LLC
NPI 1902094857ActiveOrganization· Family Medicine, Geriatric Medicine· Brooksville, FL
Family Medicine, Geriatric Medicine in Brooksville, Florida, registered in NPPES in October 2007. The authorized official on file is William Tederick Johnson, Vice President/Ao. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1902094857 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 4, 2007 |
| Last updated in NPPES | Oct 21, 2020 |
| Certified by provider | Oct 21, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Geriatric Medicine Primary | 207QG0300X | — | — |
| Surgery | 208600000X | — | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
Other Family Medicine, Geriatric Medicine providers in Brooksville
- 1861486177
All Family Medicine, Geriatric Medicine providers in Florida