Ellenton Family Practice Direct PLLC
NPI 1124471503 · Family Medicine Physician · Ellenton, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ellenton Family Practice Direct PLLC is a Family Medicine Physician organization in Ellenton, FL (NPI 1124471503).
Provider details
- NPI number
- 1124471503
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Hervig, Office Manage and Partner(941) 730-5326
- License
- PA9102767 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-07-20
- Last updated
- 2023-03-07
Frequently asked questions
- What is Ellenton Family Practice Direct PLLC's NPI number?
- Ellenton Family Practice Direct PLLC's National Provider Identifier (NPI) is 1124471503, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ellenton Family Practice Direct PLLC?
- Ellenton Family Practice Direct PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Ellenton Family Practice Direct PLLC located?
- Ellenton Family Practice Direct PLLC's practice location on file with NPPES is 907 25th Dr E, Ellenton, FL 34222-2053.
- What is Ellenton Family Practice Direct PLLC's phone number?
- The practice phone number listed in the NPPES registry for Ellenton Family Practice Direct PLLC is (941) 321-8299.
- Does Ellenton Family Practice Direct PLLC accept Medicare?
- Ellenton Family Practice Direct PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ellenton Family Practice Direct PLLC?
- The authorized official listed on Ellenton Family Practice Direct PLLC's NPPES record is David Hervig, Office Manage and Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ellenton Family Practice Direct PLLC's NPI active?
- Yes — Ellenton Family Practice Direct PLLC's NPI (1124471503) is active in the NPPES registry as of the last update on 2023-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.