SPACE COAST CARDIOLOGY CONSULTANTS
NPI 1225053176
Internal Medicine - Cardiovascular Disease in Port St John, FL
About Space Coast Cardiology Consultants NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SPACE COAST CARDIOLOGY CONSULTANTS (NPI 1225053176) is a healthcare organization registered as a cardiovascular disease in Port St John, Florida and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates and lists Laurie Holland, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
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 Cardiology Consultants is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
15Medicare enrollment records show 15 clinicians reassign Medicare billing to Space Coast Cardiology Consultants, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (15)
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 10D0993769
Space Coast Cardiology Consultants · Port Saint John, FLCertificate of Waiver 10D2052039
Space Coast Cardiology Consultants PA · 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 Space Coast Cardiology Consultants's NPI number?
The NPI number for Space Coast Cardiology Consultants is 1225053176. It was assigned to this organization in the NPPES registry on July 13, 2006.
Where is Space Coast Cardiology Consultants located?
Space Coast Cardiology Consultants is located at 7139 North Highway Us # 1, Port St John, FL 32927. The listed phone number is (321) 635-8304.
What is Space Coast Cardiology Consultants's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Space Coast Cardiology Consultants enrolled in Medicare?
Yes. Space Coast Cardiology Consultants is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Space Coast Cardiology Consultants?
According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 6 Medicare specialties reassign their Medicare billing to Space Coast Cardiology Consultants. 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 Cardiovascular Disease (Cardiology) (6), Nurse Practitioner (4) and Interventional Cardiology (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Space Coast Cardiology Consultants 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 Cardiology Consultants accept?
Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 1 other insurer list Space Coast Cardiology Consultants 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 Cardiology Consultants was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Space Coast Cardiology Consultants · NPI 1225053176
Cardiovascular Disease organization in Port St John, Florida. Organization record, active in the CMS NPPES registry since July 13, 2006.
## Identity
- **NPI:** 1225053176 (Entity type: Organization)
- **Enumerated:** July 13, 2006
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **Organization subpart:** No
- **Authorized official:** Laurie Holland, ADMINISTRATOR
## Practice location
- **Address:** 7139 NORTH HIGHWAY US # 1, Port St John, FL 32927-5094
- **Phone:** (321) 635-8304 · **Fax:** (321) 635-8252
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 15 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Cardiovascular Disease (Cardiology) (6), Nurse Practitioner (4), Interventional Cardiology (2) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 7, 2025
- **Other identifiers:** Other CL3045 (FL)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1225053176) · Data from the CMS NPPES public registry.