SPACE COAST HEALTH CENTERS INC
NPI 1144819319
Clinic/Center - Federally Qualified Health Center (FQHC) in Titusville, FL

Active since January 13, 2021CLIA Certified · 2 labs
951 N WASHINGTON AVE STE 100, TITUSVILLE, FL 32796(386) 852-9565 Get Directions Write a Review

NPPES record last updated: February 8, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 8, 2024, Jan 13, 2021 (2 updates tracked since 2021).

About Space Coast Health Centers Inc NPPES

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

SPACE COAST HEALTH CENTERS INC (NPI 1144819319) is a healthcare organization registered as a federally qualified health center (fqhc) in Titusville, Florida and active in the NPI registry since January 2021. The organization holds 2 active CLIA laboratory certificates and lists Arvin Lewis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1144819319
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSPACE COAST HEALTH CENTERS INC
Location Address951 N WASHINGTON AVE STE 100Titusville, FL 32796-2163
Mailing Address951 N Washington Ave Ste 100Titusville, FL 32796-2163 · (386) 852-9565
Organization SubpartNo
Authorized OfficialArvin LewisCeo · (321) 268-6836
Enumeration DateJanuary 13, 2021
Last NPPES UpdateFebruary 8, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2024
✔ NPI 1144819319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedFamily Medicine · Adolescent MedicineTaxonomy 207QA0000X
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
951 N WASHINGTON AVE STE 100, Titusville, FL 32796

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Space Coast Health Centers Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to Space Coast Health Centers Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 6

Obstetrics/Gynecology4
Certified Nurse Midwife (CNM)3
Nurse Practitioner3
Family Practice2
Clinical Social Worker1
Internal Medicine1

Clinicians, nearest first (14)

Nurse Practitioner
NPI 1548717838
951 N WASHINGTON AVE STE 100
Titusville, FL 32796
(321) 268-6836
✔ PECOSSame address
Certified Nurse Midwife (CNM)
NPI 1649041740
951 N WASHINGTON AVE BLDG 4
Titusville, FL 32796
(321) 268-6111
✔ PECOS0.1 mi
Family Practice
NPI 1972088631
1785 GARDEN ST
Titusville, FL 32796
(321) 269-9612
✔ PECOS✔ Accepts Medicare1.0 mi
Obstetrics/Gynecology
NPI 1124556642
250 HARRISON ST
Titusville, FL 32780
(321) 268-6868
✔ PECOS✔ Accepts Medicare3.3 mi
Obstetrics/Gynecology
NPI 1790733426
250 HARRISON ST
Titusville, FL 32780
(321) 268-6868
✔ PECOS✔ Accepts Medicare3.3 mi
Obstetrics/Gynecology
NPI 1043312945
250 HARRISON STREET PARRISH MEDICAL GROUP
Titusville, FL 32780
(321) 633-8692
✔ PECOS3.4 mi
Nurse Practitioner
NPI 1891491577
5005 PORT ST JOHN PKWY STE 2400
Cocoa, FL 32927
(321) 877-2700
✔ PECOS12 mi
Internal Medicine
NPI 1609364728
5005 PORT ST JOHN PKWY
Cocoa, FL 32927
(321) 877-2700
✔ PECOS✔ Accepts Medicare12 mi
Clinical Social Worker
NPI 1851081756
1100 ROCKLEDGE BLVD STE 200
Rockledge, FL 32955
(321) 241-6622
✔ PECOS21 mi
Obstetrics/Gynecology
NPI 1831715010
601 E ROLLINS ST
Orlando, FL 32803
(407) 303-0410
✔ PECOS✔ Accepts Medicare33 mi
Nurse Practitioner
NPI 1629686415
1800 BROOKSHIRE CIR
Melbourne, FL 32904
(321) 614-6463
✔ PECOS✔ Accepts Medicare40 mi
Certified Nurse Midwife (CNM)
NPI 1063685774
1160 CYPRESS GLEN CIR
Kissimmee, FL 34741
(407) 518-1074
✔ PECOS41 mi
Certified Nurse Midwife (CNM)
NPI 1386621019
401 OAKFIELD DR.
Brandon, FL 33511
(813) 654-2273
✔ PECOS✔ Accepts Medicare101 mi
Family Practice
NPI 1780971754
701 NW 57TH AVE STE 150
Miami, FL 33126
(305) 260-2680
✔ PECOS✔ Accepts Medicare199 mi

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 2

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 10D2225899

Space Coast Health Centers Inc · Titusville, FL
Active · expires May 24, 2027
CLIA Number10D2225899
Laboratory TypeCommunity Clinic
Certificate Effective DateMay 25, 2025
Certificate Expiration DateMay 24, 2027
Laboratory DirectorZackary Besner
Laboratory Phone(321) 268-6836
Laboratory LocationSpace Coast Health Centers Inc836 Century Medical Dr, Titusville, FL 32796
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2225916

Space Coast Health Center Inc · Cocoa, FL
Active · expires May 24, 2027
CLIA Number10D2225916
Laboratory TypeCommunity Clinic
Certificate Effective DateMay 25, 2025
Certificate Expiration DateMay 24, 2027
Laboratory DirectorZackary Besner
Laboratory Phone(321) 268-6836
Laboratory LocationSpace Coast Health Center Inc5005 Port St John Pkwy Suite 2400, Cocoa, FL 32927
CLIA data matches this NPI record on: Name 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 Space Coast Health Centers Inc's NPI number?

The NPI number for Space Coast Health Centers Inc is 1144819319. It was assigned to this organization in the NPPES registry on January 13, 2021.

Where is Space Coast Health Centers Inc located?

Space Coast Health Centers Inc is located at 951 N Washington Ave Ste 100, Titusville, FL 32796. The listed phone number is (386) 852-9565.

What is Space Coast Health Centers Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Space Coast Health Centers Inc enrolled in Medicare?

Yes. Space Coast Health Centers Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Space Coast Health Centers Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 6 Medicare specialties reassign their Medicare billing to Space Coast Health Centers Inc. 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. The largest specialties are Obstetrics/Gynecology (4), Certified Nurse Midwife (CNM) (3) and Nurse Practitioner (3). Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Space Coast Health Centers Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Space Coast Health Centers Inc accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Space Coast Health Centers Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Space Coast Health Centers Inc was last updated on February 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.