South Lake Obstetrics & Gynecology, LLC
NPI 1497754121 · Obstetrics & Gynecology Physician · Clermont, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
South Lake Obstetrics & Gynecology, LLC is a Obstetrics & Gynecology Physician organization in Clermont, FL (NPI 1497754121).
Provider details
- NPI number
- 1497754121
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Matthew Casavant, Owner(321) 436-8371
- License
- OS8678 (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
20 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
Other names (DBA / former)
- Doing business as
- South Lake Ob/Gyn and Advanced Surgery
Registry dates
- Enumerated
- 2005-07-15
- Last updated
- 2024-03-13
- Certified
- 2024-03-13
Frequently asked questions
- What is South Lake Obstetrics & Gynecology, LLC's NPI number?
- South Lake Obstetrics & Gynecology, LLC's National Provider Identifier (NPI) is 1497754121, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Lake Obstetrics & Gynecology, LLC?
- South Lake Obstetrics & Gynecology, LLC is classified in the NPPES registry as Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is South Lake Obstetrics & Gynecology, LLC located?
- South Lake Obstetrics & Gynecology, LLC's practice location on file with NPPES is 1900 Don Wickham Dr Ste 120, Clermont, FL 34711-1980.
- What is South Lake Obstetrics & Gynecology, LLC's phone number?
- The practice phone number listed in the NPPES registry for South Lake Obstetrics & Gynecology, LLC is (352) 241-7050.
- Does South Lake Obstetrics & Gynecology, LLC accept Medicare?
- South Lake Obstetrics & Gynecology, LLC 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 South Lake Obstetrics & Gynecology, LLC?
- The authorized official listed on South Lake Obstetrics & Gynecology, LLC's NPPES record is Matthew Casavant, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Lake Obstetrics & Gynecology, LLC's NPI active?
- Yes — South Lake Obstetrics & Gynecology, LLC's NPI (1497754121) is active in the NPPES registry as of the last update on 2024-03-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.