Organization
Capernaum Medical Center for Kids PLLC
Provider's NPPES record last updated: August 15, 2024
Overview
- Entity Type
- Organization
- NPI
- 1881146413
- Primary Specialty
- Psychiatry & Neurology — Clinical Neurophysiology
- Practice Location
- Lakeland, Florida
- Organization Subpart
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 2:25 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Psychiatry & Neurology
Clinical Neurophysiology
Allopathic & Osteopathic Physicians
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
Taxonomy code 2084N0600X
Practice Locations
Practice Location
2024 Edgewood Dr S
Lakeland, Florida 33803
Phone: (863) 232-4323
Additional Practice Location
5129 S Lakeland Dr
Suite 1 & 2
Lakeland, Florida 33813-2598
Phone: (863) 232-4323
Fax: (863) 337-5728
Additional Practice Location
250 Westshore Plz
Tampa, Florida 33609-1811
Phone: (863) 232-4323
Fax: (863) 337-5728
Additional Practice Location
4710 N Habana Ave
Tampa, Florida 33614-7161
Phone: (863) 232-4323
Fax: (863) 337-5728
Additional Practice Location
3040 Park Pond Way
Kissimmee, Florida 34741
Phone: (863) 232-4323
Fax: (863) 337-5728
Record Information
- Enumeration Date
- October 31, 2016
- Provider's NPPES Record Last Updated
- August 15, 2024
- Certification Date
- August 15, 2024
- NPISignal NPPES Dataset
- August 2026
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