1. Home
  2. Directory
  3. Florida
  4. Orange City
  5. Family Medicine
  6. NPI Profile

ADVANCED PRACTICE AND WELLNESS LLC
NPI 1003656919
Family Medicine in Orange City, FL

Active since May 29, 2024CLIA 10D2327997 · Waiver
2425 S VOLUSIA AVE STE B3, ORANGE CITY, FL 32763(386) 473-7005(386) 473-7006 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Advanced Practice And Wellness Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED PRACTICE AND WELLNESS LLC (NPI 1003656919) is a healthcare organization registered as a family medicine in Orange City, Florida and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through August 3, 2027 and lists Gregory Wade Prince, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1003656919
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameADVANCED PRACTICE AND WELLNESS LLC
Location Address2425 S VOLUSIA AVE STE B3Orange City, FL 32763-7625
Mailing Address2425 S Volusia Ave Ste B3Orange City, FL 32763-7625 · (386) 473-7005 · Fax (386) 473-7006
Phone(386) 473-7005
Fax(386) 473-7006
Organization SubpartNo
Authorized OfficialGregory Wade PrinceCo-owner · (256) 612-0173
Enumeration DateMay 29, 2024
Last NPPES UpdateOctober 29, 2025
NPPES CertifiedOctober 29, 2025
✔ NPI 1003656919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
2425 S VOLUSIA AVE STE B3, Orange City, FL 32763
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Practice And Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Advanced Practice And Wellness LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Gregory Prince, ARNP, FNP-C
Nurse Practitioner
NPI 1043826688
2425 S VOLUSIA AVE STE B3
Orange City, FL 32763
(386) 473-7005
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2327997

Advance Practice And Wellness LLC · Orange City, FL
Active · expires Aug 3, 2027
CLIA Number10D2327997
Laboratory TypePractitioner Other
Certificate Effective DateAugust 4, 2025
Certificate Expiration DateAugust 3, 2027
Laboratory DirectorGregory W. Prince
Laboratory Phone(386) 473-7005
Laboratory LocationAdvance Practice And Wellness LLC2425 S Volusia Ave B3, Orange City, FL 32763
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Practice And Wellness LLC's NPI number?

The NPI number for Advanced Practice And Wellness LLC is 1003656919. It was assigned to this organization in the NPPES registry on May 29, 2024.

Where is Advanced Practice And Wellness LLC located?

Advanced Practice And Wellness LLC is located at 2425 S Volusia Ave Ste B3, Orange City, FL 32763. The listed phone number is (386) 473-7005.

What is Advanced Practice And Wellness LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Advanced Practice And Wellness LLC enrolled in Medicare?

Yes. Advanced Practice And Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Practice And Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Advanced Practice And Wellness LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Advanced Practice And Wellness LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2327997) is associated with this NPI, valid through August 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advanced Practice And Wellness LLC was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.