Good Shepherd Medical Clinic PA
NPI 1417116575 · Family Medicine Physician · Brooksville, FL
Good Shepherd Medical Clinic PA is a Family Medicine Physician organization in Brooksville, FL (NPI 1417116575).
Provider details
- NPI number
- 1417116575
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Good Shepherd Medical Clinic PA
- Organization subpart
- Yes
- Authorized official
- Roger Lee, President(352) 686-5023
- License
- ME46566 (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
18 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
- 2008-06-04
- Last updated
- 2008-06-25
Frequently asked questions
- What is Good Shepherd Medical Clinic PA's NPI number?
- Good Shepherd Medical Clinic PA's National Provider Identifier (NPI) is 1417116575, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Good Shepherd Medical Clinic PA?
- Good Shepherd Medical Clinic PA is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Good Shepherd Medical Clinic PA located?
- Good Shepherd Medical Clinic PA's practice location on file with NPPES is 11329 Cortez Blvd, Brooksville, FL 34613.
- What is Good Shepherd Medical Clinic PA's phone number?
- The practice phone number listed in the NPPES registry for Good Shepherd Medical Clinic PA is (352) 596-5052.
- Who is the authorized official for Good Shepherd Medical Clinic PA?
- The authorized official listed on Good Shepherd Medical Clinic PA's NPPES record is Roger Lee, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Good Shepherd Medical Clinic PA's NPI active?
- Yes — Good Shepherd Medical Clinic PA's NPI (1417116575) is active in the NPPES registry as of the last update on 2008-06-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.