Countryside Medical PA
NPI 1275610362 · Internal Medicine Physician · Ocala, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Countryside Medical PA is a Internal Medicine Physician organization in Ocala, FL (NPI 1275610362).
Provider details
- NPI number
- 1275610362
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kenneth Lee, Owner President(352) 873-4458
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
19 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
- 2006-11-01
- Last updated
- 2023-09-01
- Certified
- 2023-09-01
Frequently asked questions
- What is Countryside Medical PA's NPI number?
- Countryside Medical PA's National Provider Identifier (NPI) is 1275610362, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Countryside Medical PA?
- Countryside Medical PA is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Countryside Medical PA located?
- Countryside Medical PA's practice location on file with NPPES is 7860 Sw 103rd Street Rd, Ocala, FL 34476-8623.
- What is Countryside Medical PA's phone number?
- The practice phone number listed in the NPPES registry for Countryside Medical PA is (352) 873-4458.
- Does Countryside Medical PA accept Medicare?
- Countryside Medical PA 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 Countryside Medical PA?
- The authorized official listed on Countryside Medical PA's NPPES record is Kenneth Lee, Owner President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Countryside Medical PA's NPI active?
- Yes — Countryside Medical PA's NPI (1275610362) is active in the NPPES registry as of the last update on 2023-09-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.