NEW SMYRNA BEACH GYNECOLOGY & OBSTETRICS PA
NPI 1245233725
Obstetrics & Gynecology in New Smyrna Beach, FL

Q: What is New Smyrna Beach Gynecology & Obstetrics PA's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since May 27, 2005CLIA 10D0907881 · Microscopy

603 S ORANGE ST, NEW SMYRNA BEACH, FL 32168(386) 423-0333(386) 423-0042 Get Directions Write a Review

NPPES record last updated: September 7, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About New Smyrna Beach Gynecology & Obstetrics Pa NPPES

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

NEW SMYRNA BEACH GYNECOLOGY & OBSTETRICS PA (NPI 1245233725) is a healthcare organization registered as an obstetrics & gynecology in New Smyrna Beach, Florida and active in the NPI registry since May 2005. The organization holds a CLIA Microscopy certificate valid through October 24, 2027 and lists Jacob Dudley Rouse, President, as its authorized official.

NPPES Registry Identity

NPI1245233725

Entity TypeOrganization

Primary Taxonomy207V00000X

Legal Business NameNEW SMYRNA BEACH GYNECOLOGY & OBSTETRICS PA

Location Address603 S ORANGE STNew Smyrna Beach, FL 32168-7320

Mailing Address603 S Orange StNew Smyrna Beach, FL 32168-7320 · (386) 423-0333 · Fax (386) 423-0042

Phone(386) 423-0333

Fax(386) 423-0042

Organization SubpartNo

Authorized OfficialJacob Dudley RousePresident · (386) 423-0333

Enumeration DateMay 27, 2005

Last NPPES UpdateSeptember 7, 2012

✔ NPI 1245233725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in FL · ME32999

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedNurse Practitioner · Obstetrics & GynecologyTaxonomy 363LX0001X · License RN2893652 (FL)

603 S ORANGE ST, New Smyrna Beach, FL 32168

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Other Identifiers 2

Medicare PINCK2855FL

Medicare PINK3179FL

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)

New Smyrna Beach Gynecology & Obstetrics Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to New Smyrna Beach Gynecology & Obstetrics PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Jacob Rouse, M.D.

Obstetrics/Gynecology

NPI 1225013196

603 S ORANGE ST
New Smyrna Beach, FL 32168

(386) 423-0333

✔ PECOS✔ Accepts MedicareSame address

Regina George, NP

Nurse Practitioner

NPI 1477079036

2627 RIVERSIDE AVE
Jacksonville, FL 32204

(904) 308-7372

✔ PECOS100 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

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 for Provider-Performed Microscopy Procedures (PPMP) 10D0907881

New Smyrna Beach Gynecology And Obstetrics PA · New Smyrna Beach, FL

Active · expires Oct 24, 2027

CLIA Number10D0907881

Laboratory TypePhysician Office

Certificate Effective DateOctober 25, 2025

Certificate Expiration DateOctober 24, 2027

Laboratory DirectorDr. Jacob D. Rouse

Laboratory Phone(386) 423-0333

Laboratory LocationNew Smyrna Beach Gynecology And Obstetrics PA603 S Orange St, New Smyrna Beach, FL 32168

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 New Smyrna Beach Gynecology & Obstetrics PA's NPI number?

The NPI number for New Smyrna Beach Gynecology & Obstetrics PA is 1245233725. It was assigned to this organization in the NPPES registry on May 27, 2005.

Where is New Smyrna Beach Gynecology & Obstetrics PA located?

New Smyrna Beach Gynecology & Obstetrics PA is located at 603 S Orange St, New Smyrna Beach, FL 32168. The listed phone number is (386) 423-0333.

What is New Smyrna Beach Gynecology & Obstetrics PA's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is New Smyrna Beach Gynecology & Obstetrics PA enrolled in Medicare?

Yes. New Smyrna Beach Gynecology & Obstetrics PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through New Smyrna Beach Gynecology & Obstetrics PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to New Smyrna Beach Gynecology & Obstetrics PA, in Nurse Practitioner and Obstetrics/Gynecology. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does New Smyrna Beach Gynecology & Obstetrics PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 10D0907881) is associated with this NPI, valid through October 24, 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 New Smyrna Beach Gynecology & Obstetrics PA was last updated on September 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.