ADLY THEBAUD,MD,PA
NPI 1417018482
Community/Behavioral Health in Orange City, FL
About Adly Thebaud,md,pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADLY THEBAUD,MD,PA (NPI 1417018482), doing business as Family Psychiatry Services, is a healthcare organization registered as a community/behavioral health in Orange City, Florida and active in the NPI registry since December 2006. The organization lists Adly Thebaud, Owner/provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Other Identifiers 3
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)
Adly Thebaud,md,pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Adly Thebaud,md,pa, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
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 Adly Thebaud,md,pa's NPI number?
The NPI number for Adly Thebaud,md,pa is 1417018482. It was assigned to this organization in the NPPES registry on December 13, 2006. The provider is doing business as Family Psychiatry Services.
Where is Adly Thebaud,md,pa located?
Adly Thebaud,md,pa is located at 2725 Rebecca Ln Ste 107, Orange City, FL 32763. The listed phone number is (386) 775-0736.
What is Adly Thebaud,md,pa's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Adly Thebaud,md,pa enrolled in Medicare?
Yes. Adly Thebaud,md,pa is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Adly Thebaud,md,pa?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Adly Thebaud,md,pa. 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 (3) and Psychiatry (2). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Adly Thebaud,md,pa accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 3 other insurers list Adly Thebaud,md,pa 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 Adly Thebaud,md,pa was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Adly Thebaud,md,pa · NPI 1417018482
Community/Behavioral Health organization in Orange City, Florida. Organization record, active in the CMS NPPES registry since December 13, 2006.
## Identity
- **NPI:** 1417018482 (Entity type: Organization)
- **Enumerated:** December 13, 2006
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Also known as:** Family Psychiatry Services (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Adly Thebaud, OWNER/PROVIDER
## Practice location
- **Address:** 2725 REBECCA LN STE 107, Orange City, FL 32763-8350
- **Phone:** (386) 775-0736 · **Fax:** (386) 775-0738
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Psychiatry (2); 5 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 10, 2026
- **Other identifiers:** Medicaid 010364600 (FL); Other W9584 (FL); Other K0231 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1417018482) · Data from the CMS NPPES public registry.