PRIMARY CARE SERVICES OF JUPITER MEDICAL SPECIALISTS, LLC
NPI 1396281671
Family Medicine in Jupiter, FL

NPI Status: Active since January 11, 2017

Contact Information

136 JUPITER LAKES BLVD
JUPITER, FL
ZIP 33458
Phone: (561) 746-3030

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  • Organization
  • Family Medicine
  • Accepts Insurance
  • CLIA Number: 10D1008763
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-17-2025

About PRIMARY CARE SERVICES OF JUPITER MEDICAL SPECIALISTS, LLC

This page provides the complete NPI Profile along with additional information for Primary Care Services Of Jupiter Medical Specialists, Llc, a primary care provider established in Jupiter, Florida operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1396281671 assigned on January 2017. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Primary Care Services Of Jupiter Medical Specialists, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Karen Vaughn (Officer)

NPI
1396281671
Provider Name
PRIMARY CARE SERVICES OF JUPITER MEDICAL SPECIALISTS, LLC
Entity Type
Organization
Location Address
136 JUPITER LAKES BLVD JUPITER, FL 33458
Location Phone
(561) 746-3030
Mailing Address
5565 CENTERVIEW DR STE 107 RALEIGH, NC 27606
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-11-2017
Last Update Date
03-29-2023
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A primary care provider (PCP) like Primary Care Services Of Jupiter Medical Specialists, Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Connect Bronze 0 Indiv Med Deductible - EPO
  • Connect Bronze 5500 Indiv Med Deductible - EPO
  • Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care - EPO
  • Connect Bronze CMS Standard - EPO
  • Connect Gold 2000 Indiv Med Deductible - EPO
  • Connect Gold 800 Indiv Med Deductible - EPO
  • Connect Gold CMS Standard - EPO
  • Connect Silver 3600 Indiv Med Deductible - EPO
  • Connect Silver 4300 Indiv Med Deductible - EPO
  • Connect Silver CMS Standard - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KAREN VAUGHN

Authorized Official Title
OFFICER
Authorized Official Phone
(973) 251-1132

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D1008763
Facility Type
Physician Office
Certificate Effective Date
September 18, 2023
Certificate Expiration Date
September 17, 2025
Laboratory Director
JANETTE SOTO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Primary Care Services Of Jupiter Medical Specialists, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for PRIMARY CARE SERVICES OF JUPITER MEDICAL SPECIALISTS, LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1396281671
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23186482614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 8 + 6 + 4 + 8 + 2 + 6 + 1 + 4 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1396281671 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023069952 MICHELE SHOCKLEY ARNP
Individual
Nurse Practitioner (Women's Health)136 JUPITER LAKES BLVD BUILDING 2000
JUPITER, FL 33458
(561) 748-1888
1316345853CRAIG P. PROKOS, M.D.
Organization
Internal Medicine136 JUPITER LAKES BLVD
JUPITER, FL 33458
(561) 746-3030
1205838166 CRAIG P PROKOS M.D.
Individual
Internal Medicine136 JUPITER LAKES BLVD
JUPITER, FL 33458
(561) 746-3030
1790338663 CYNTHIA PROKOS
Individual
Nurse Practitioner (Family)136 JUPITER LAKES BLVD
JUPITER, FL 33458
(561) 746-3030
1720312739DR. WILLIAM ALFONSO GUSTAVE MD
Individual
Family Medicine136 JUPITER LAKES BLVD
JUPITER, FL 33458
(561) 741-5591
1790160380DR. KATHRYN MARIE SMITH D.O.
Individual
Family Medicine136 JUPITER LAKES BLVD
JUPITER, FL 33458
(561) 746-3030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396281671, enumerated in the NPI registry as an "organization" on January 11, 2017

The provider is located at 136 Jupiter Lakes Blvd Jupiter, Fl 33458 and the phone number is (561) 746-3030

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Cigna Healthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 10D1008763 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on January 11, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.