MEDFAST URGENT CARE CENTERS, LLC
NPI 1174262232
Clinic/Center - Urgent Care in Port Orange, FL
About Medfast Urgent Care Centers, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEDFAST URGENT CARE CENTERS, LLC (NPI 1174262232) is a healthcare organization registered as an urgent care in Port Orange, Florida and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through June 4, 2028 and lists David Williams, Cmo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Medfast Urgent Care Centers, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
103Medicare enrollment records show 103 clinicians reassign Medicare billing to Medfast Urgent Care Centers, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 103Source: 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 10D2185633
Medfast Urgent Care Centers LLC · Melbourne, FLFrequently 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 Medfast Urgent Care Centers, LLC's NPI number?
The NPI number for Medfast Urgent Care Centers, LLC is 1174262232. It was assigned to this organization in the NPPES registry on May 27, 2022.
Where is Medfast Urgent Care Centers, LLC located?
Medfast Urgent Care Centers, LLC is located at 1400 Dunlawton Ave Unit 1-A, Port Orange, FL 32127. The listed phone number is (321) 633-3278.
What is Medfast Urgent Care Centers, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Medfast Urgent Care Centers, LLC enrolled in Medicare?
Yes. Medfast Urgent Care Centers, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Medfast Urgent Care Centers, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 103 clinicians in 6 Medicare specialties reassign their Medicare billing to Medfast Urgent Care Centers, 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. The largest specialties are Nurse Practitioner (87), Family Practice (8) and Emergency Medicine (5). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Medfast Urgent Care Centers, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2185633) is associated with this NPI, valid through June 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Medfast Urgent Care Centers, LLC was last updated on May 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Medfast Urgent Care Centers, Llc · NPI 1174262232
Urgent Care organization in Port Orange, Florida. Organization record, active in the CMS NPPES registry since May 27, 2022.
## Identity
- **NPI:** 1174262232 (Entity type: Organization)
- **Enumerated:** May 27, 2022
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Organization subpart:** No
- **Authorized official:** David Williams, CMO
## Practice location
- **Address:** 1400 DUNLAWTON AVE UNIT 1-A, Port Orange, FL 32127-8952
- **Phone:** (321) 633-3278
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 103 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (87), Family Practice (8), Emergency Medicine (5); 1 practice within 10 miles; [full list](https://npiprofile.com/npi/1174262232/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 27, 2022
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1174262232) · Data from the CMS NPPES public registry.