Shenandoah Medical Care Center
NPI 1417494154 · Primary Care Clinic/Center · Lantana, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shenandoah Medical Care Center is a Primary Care Clinic/Center organization in Lantana, FL (NPI 1417494154).
Provider details
- NPI number
- 1417494154
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Joy Fuller, Owner(561) 853-7233
- License
- 2602122
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
- 2017-01-19
- Last updated
- 2017-01-19
Frequently asked questions
- What is Shenandoah Medical Care Center's NPI number?
- Shenandoah Medical Care Center's National Provider Identifier (NPI) is 1417494154, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shenandoah Medical Care Center?
- Shenandoah Medical Care Center is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Shenandoah Medical Care Center located?
- Shenandoah Medical Care Center's practice location on file with NPPES is 6234 S Congress Ave, Lantana, FL 33462-2307.
- What is Shenandoah Medical Care Center's phone number?
- The practice phone number listed in the NPPES registry for Shenandoah Medical Care Center is (561) 619-9510.
- Does Shenandoah Medical Care Center accept Medicare?
- Shenandoah Medical Care Center 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 Shenandoah Medical Care Center?
- The authorized official listed on Shenandoah Medical Care Center's NPPES record is Joy Fuller, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shenandoah Medical Care Center's NPI active?
- Yes — Shenandoah Medical Care Center's NPI (1417494154) is active in the NPPES registry as of the last update on 2017-01-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.