MEDFAST URGENT CARE CENTERS, LLC
NPI 1366710170
Clinic/Center - Urgent Care in Palm Bay, FL

Active since December 07, 2011CLIA Certified · 2 labs
490 CENTRE LAKE DR NE, PALM BAY, FL 32907(321) 751-7222 Get Directions Write a Review

NPPES record last updated: July 13, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 13, 2021, Jun 17, 2020 (2 updates tracked since 2020).

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 1366710170) is a healthcare organization registered as an urgent care in Palm Bay, Florida and active in the NPI registry since December 2011. The organization holds 2 active CLIA laboratory certificates and lists David Thomas Williams, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1366710170
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameMEDFAST URGENT CARE CENTERS, LLC
Location Address490 CENTRE LAKE DR NEPalm Bay, FL 32907-1113
Mailing Address490 Centre Lake Dr NePalm Bay, FL 32907-1113 · (321) 751-7222
Organization SubpartNo
Authorized OfficialDavid Thomas WilliamsMedical Director · (321) 821-4950
Enumeration DateDecember 7, 2011
Last NPPES UpdateJuly 13, 20212 updates tracked since enumeration
NPPES CertifiedJuly 13, 2021
✔ NPI 1366710170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
License✔ Licensed in FL · OS6588
490 CENTRE LAKE DR NE, Palm Bay, FL 32907

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)

Medfast Urgent Care Centers, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

103

Medicare enrollment records show 103 clinicians reassign Medicare billing to Medfast Urgent Care Centers, LLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 33 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Nurse Practitioner87
Family Practice8
Emergency Medicine5
Certified Nurse Midwife (CNM)1
Internal Medicine1
Sports Medicine1

Nearest to this location (20)

See all 103
Nurse Practitioner
NPI 1407558042
490 CENTRE LAKE DR NE STE 200
Palm Bay, FL 32907
(321) 821-4950
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1972060101
490 CENTRE LAKE DR NE STE 200
Palm Bay, FL 32907
(321) 821-4950
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1104523000
490 CENTRE LAKE DR NE STE 200
Palm Bay, FL 32907
(321) 821-4950
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1467267153
490 CENTRE LAKE DR NE
Palm Bay, FL 32907
(321) 821-4950
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1346708880
490 CENTRE LAKE DR NE STE 200A
Palm Bay, FL 32907
(321) 821-4950
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1760484034
490 CENTRE LAKE DR NE SUITE 200
Palm Bay, FL 32907
(800) 476-8646
✔ PECOSSame address
Nurse Practitioner
NPI 1801625348
6100 MINTON RD NW STE 102
Melbourne, FL 32907
(321) 724-1171
✔ PECOS✔ Accepts Medicare2.0 mi
Nurse Practitioner
NPI 1356959324
5055 BABCOCK ST NE STE 2
Palm Bay, FL 32905
(321) 724-1200
✔ PECOS✔ Accepts Medicare2.4 mi
Nurse Practitioner
NPI 1174251490
5270 BABCOCK ST NE STE 1
Palm Bay, FL 32905
(321) 241-6800
✔ PECOS✔ Accepts Medicare2.5 mi
Nurse Practitioner
NPI 1043095243
600 MALABAR RD SE STE 2
Palm Bay, FL 32907
(321) 802-6590
✔ PECOS✔ Accepts Medicare2.5 mi
Nurse Practitioner
NPI 1043165939
200 MALABAR RD SE
Palm Bay, FL 32907
(321) 633-3278
✔ PECOS✔ Accepts Medicare2.5 mi
Nurse Practitioner
NPI 1679496806
200 MALABAR RD SE
Palm Bay, FL 32907
(321) 733-3340
✔ PECOS2.5 mi
Nurse Practitioner
NPI 1588089098
4680 LIPSCOMB ST NE STE 10B
Palm Bay, FL 32905
(321) 364-3758
✔ PECOS✔ Accepts Medicare3.3 mi
Nurse Practitioner
NPI 1205447349
4680 LIPSCOMB ST NE STE 2
Palm Bay, FL 32905
(321) 491-9699
✔ PECOS✔ Accepts Medicare3.3 mi
Nurse Practitioner
NPI 1619708203
1855 W HIBISCUS BLVD
Melbourne, FL 32901
(321) 802-4521
✔ PECOS✔ Accepts Medicare3.5 mi
Nurse Practitioner
NPI 1043802531
1698 W HIBISCUS BLVD
Melbourne, FL 32901
(321) 676-3200
✔ PECOS✔ Accepts Medicare3.6 mi
Emergency Medicine
NPI 1487815601
1501 ROBERT J CONLAN BLVD NE STE 7
Palm Bay, FL 32905
(321) 479-4083
✔ PECOS✔ Accepts Medicare3.7 mi
Nurse Practitioner
NPI 1215398862
1421 MALABAR RD NE STE 250
Palm Bay, FL 32907
(321) 434-8420
✔ PECOS3.7 mi
Nurse Practitioner
NPI 1891386314
1223 GATEWAY DR STE 1E
Melbourne, FL 32901
(321) 725-4505
✔ PECOS✔ Accepts Medicare3.9 mi
Nurse Practitioner
NPI 1174199657
206 E NEW HAVEN AVE
Melbourne, FL 32901
(860) 597-1650
✔ PECOS✔ Accepts Medicare4.0 mi
See all 103 clinicians

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 10D2137395

Medfast Urgent Care Centers LLC · Titusville, FL
Active · expires Sep 25, 2027
CLIA Number10D2137395
Laboratory TypeUrgent Care Ctr
Certificate Effective DateSeptember 26, 2025
Certificate Expiration DateSeptember 25, 2027
Laboratory DirectorDavid T. Williams
Laboratory Phone(321) 751-7222
Laboratory LocationMedfast Urgent Care Centers LLC1840 South Washington Ave, Titusville, FL 32780
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2033637

Medfast Urgent Care Centers LLC · Palm Bay, FL
Active · expires Dec 6, 2027
CLIA Number10D2033637
Laboratory TypeUrgent Care Center
Certificate Effective DateDecember 7, 2025
Certificate Expiration DateDecember 6, 2027
Laboratory DirectorDavid T. Williams
Laboratory Phone(301) 751-7222
Laboratory LocationMedfast Urgent Care Centers LLC490 Centre Lake Dr Ste 200, Palm Bay, FL 32907
CLIA data matches this NPI record on: Name
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 Medfast Urgent Care Centers, LLC's NPI number?

The NPI number for Medfast Urgent Care Centers, LLC is 1366710170. It was assigned to this organization in the NPPES registry on December 7, 2011.

Where is Medfast Urgent Care Centers, LLC located?

Medfast Urgent Care Centers, LLC is located at 490 Centre Lake Dr NE, Palm Bay, FL 32907. The listed phone number is (321) 751-7222.

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, 6 practice at this address and 33 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Medfast Urgent Care Centers, LLC 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 Medfast Urgent Care Centers, LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Florida Health Care Plans, Health First Commercial Plans, Inc. and Oscar Health Maintenance Organization of Florida list Medfast Urgent Care Centers, LLC 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 Medfast Urgent Care Centers, LLC was last updated on July 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.