Lifemd Southern Patient Medical Care PC
NPI 1417635921 · Clinic/Center · Orlando, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lifemd Southern Patient Medical Care PC is a Clinic/Center organization in Orlando, FL (NPI 1417635921).
Provider details
- NPI number
- 1417635921
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Eric Yecies, Cco(800) 852-1575
Specialties & taxonomies
Ambulatory Health Care Facilities
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
- Allergy & Immunology Physician207K00000X
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 3455 Peachtree Rd Ne Fl 5Atlanta, GA 30326-3254Phone: (800) 852-1575
Registry dates
- Enumerated
- 2023-07-06
- Last updated
- 2024-05-28
- Certified
- 2024-05-28
Frequently asked questions
- What is Lifemd Southern Patient Medical Care PC's NPI number?
- Lifemd Southern Patient Medical Care PC's National Provider Identifier (NPI) is 1417635921, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lifemd Southern Patient Medical Care PC?
- Lifemd Southern Patient Medical Care PC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lifemd Southern Patient Medical Care PC located?
- Lifemd Southern Patient Medical Care PC's practice location on file with NPPES is 111 N Orange Ave Ste 800, Orlando, FL 32801-2381.
- What is Lifemd Southern Patient Medical Care PC's phone number?
- The practice phone number listed in the NPPES registry for Lifemd Southern Patient Medical Care PC is (646) 263-3680.
- Does Lifemd Southern Patient Medical Care PC accept Medicare?
- Lifemd Southern Patient Medical Care PC 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 Lifemd Southern Patient Medical Care PC?
- The authorized official listed on Lifemd Southern Patient Medical Care PC's NPPES record is Eric Yecies, Cco. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lifemd Southern Patient Medical Care PC's NPI active?
- Yes — Lifemd Southern Patient Medical Care PC's NPI (1417635921) is active in the NPPES registry as of the last update on 2024-05-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.