PRESTIGE MOBILE WOUND CONSULTANTS
NPI 1396493201
Clinic/Center in Fort Lauderdale, FL
About Prestige Mobile Wound Consultants NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRESTIGE MOBILE WOUND CONSULTANTS (NPI 1396493201) is a healthcare organization registered as a clinic/center in Fort Lauderdale, Florida and active in the NPI registry since March 2022. The organization lists Henry Odazie, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Prestige Mobile Wound Consultants is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Prestige Mobile Wound Consultants, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Samdazie LLC's NPI number?
The NPI number for Samdazie LLC is 1396493201. It was assigned to this organization in the NPPES registry on March 10, 2022. The provider is doing business as Prestige Mobile Wound Consultants.
Where is Samdazie LLC located?
Samdazie LLC is located at 331 NW 27th Ave, Fort Lauderdale, FL 33311. The listed phone number is (954) 496-2599.
What is Samdazie LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Samdazie LLC enrolled in Medicare?
Yes. Samdazie LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Samdazie LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Samdazie LLC, in General Practice and Nurse Practitioner. 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, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Samdazie LLC was last updated on June 28, 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.
# Prestige Mobile Wound Consultants · NPI 1396493201
Clinic/Center organization in Fort Lauderdale, Florida. Organization record, active in the CMS NPPES registry since March 10, 2022.
## Identity
- **NPI:** 1396493201 (Entity type: Organization)
- **Enumerated:** March 10, 2022
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Legal business name:** Samdazie Llc
- **Organization subpart:** No
- **Authorized official:** Henry Odazie, MEDICAL DIRECTOR
## Practice location
- **Address:** 331 NW 27TH AVE, Fort Lauderdale, FL 33311-8632
- **Phone:** (954) 496-2599
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), General Practice (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 28, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1396493201) · Data from the CMS NPPES public registry.