WEST VOLUSIA FAMILY AND SPORTS MEDICINE INC
NPI 1548584600
Family Medicine in Deland, FL

Active since March 18, 2010CLIA 10D1097742 · Waiver
1590 S STATE ROAD 15A STE 100, DELAND, FL 32720(386) 774-0016 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 7, 2025, Aug 4, 2020 (2 updates tracked since 2020).

About West Volusia Family And Sports Medicine Inc NPPES

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

WEST VOLUSIA FAMILY AND SPORTS MEDICINE INC (NPI 1548584600) is a healthcare organization registered as a family medicine in Deland, Florida and active in the NPI registry since March 2010. The organization holds a CLIA Waiver certificate valid through April 1, 2027, maintains 2 additional practice locations, and lists John Hill, Owner / Provider, as its authorized official.

NPPES Registry Identity

NPI1548584600
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWEST VOLUSIA FAMILY AND SPORTS MEDICINE INC
Location Address1590 S STATE ROAD 15A STE 100Deland, FL 32720-7817
Mailing Address1590 S State Road 15a Ste 100Deland, FL 32720-7817 · (386) 774-0016 · Fax (386) 774-0606
Organization SubpartNo
Authorized OfficialJohn HillOwner / Provider · (386) 774-0016
Enumeration DateMarch 18, 2010
Last NPPES UpdateApril 7, 20252 updates tracked since enumeration
NPPES CertifiedApril 7, 2025
✔ NPI 1548584600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME93242
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1590 S STATE ROAD 15A STE 100, Deland, FL 32720

Secondary Practice Locations 2

Location 1742 N Volusia AveOrange City, FL 32763-4857 · Phone (386) 774-0016
Location 22884 Wellness Ave Ste 200Orange City, FL 32763-8427 · Phone (386) 774-0016

Other Identifiers 2

Other000TFFL · Bcbs
Medicaid002241400FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

West Volusia Family And Sports Medicine Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to West Volusia Family And Sports Medicine Inc, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner9
Family Practice3
Internal Medicine2

Clinicians, nearest first (14)

Family Practice
NPI 1558380444
1590 S SR 15A SUITE 100
Deland, FL 32720
(386) 774-0016
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1922636851
1590 S SR 15A STE 100
Deland, FL 32720
(386) 774-0016
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1033090394
1590 S SR 15A
Deland, FL 32720
(386) 774-0016
✔ PECOSSame address
Family Practice
NPI 1689256059
1590 S SR 15A STE 100
Deland, FL 32720
(386) 774-0016
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1144648809
1590 S SR 15A STE 100
Deland, FL 32720
(386) 774-0016
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1104761287
165 E FIESTA KEY LOOP
Deland, FL 32720
(787) 415-4878
✔ PECOS2.8 mi
Nurse Practitioner
NPI 1225700909
739 S SPRING GARDEN AVE
Deland, FL 32720
(386) 777-2273
✔ PECOS✔ Accepts Medicare2.9 mi
Internal Medicine
NPI 1235428921
1590 S SR 15A STE 100
Deland, FL 32720
(386) 774-0016
✔ PECOS✔ Accepts Medicare4.0 mi
Nurse Practitioner
NPI 1649162124
2884 WELLNESS AVE
Orange City, FL 32763
(386) 774-0016
✔ PECOS✔ Accepts Medicare7.0 mi
Nurse Practitioner
NPI 1750631669
24239 STATE ROAD 40
Astor, FL 32102
(352) 759-3900
✔ PECOS18 mi
Family Practice
NPI 1558823922
1890 LPGA BLVD STE 170
Daytona Beach, FL 32117
(386) 425-3370
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1073051827
1800 PEMBROOK DR STE 300
Orlando, FL 32810
(407) 814-4466
✔ PECOS✔ Accepts Medicare26 mi
Nurse Practitioner
NPI 1770457145
4250 ALAFAYA TRL STE 188
Oviedo, FL 32765
(407) 366-2890
✔ PECOS27 mi
Nurse Practitioner
NPI 1366866204
4720 SALISBURY RD
Jacksonville, FL 32256
(855) 212-2273
✔ PECOS88 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 of Waiver 10D1097742

West Volusia Family And Sports Medicine · Deland, FL
Active · expires Apr 1, 2027
CLIA Number10D1097742
Laboratory TypePhysician Office
Certificate Effective DateApril 2, 2025
Certificate Expiration DateApril 1, 2027
Laboratory DirectorJohn M. Hill
Laboratory Phone(386) 774-0016
Laboratory LocationWest Volusia Family And Sports Medicine1590 S State Rd 15A Ste 100, Deland, FL 32720
CLIA data matches this NPI record on: Address Name Phone
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 West Volusia Family And Sports Medicine Inc's NPI number?

The NPI number for West Volusia Family And Sports Medicine Inc is 1548584600. It was assigned to this organization in the NPPES registry on March 18, 2010.

Where is West Volusia Family And Sports Medicine Inc located?

West Volusia Family And Sports Medicine Inc is located at 1590 S State Road 15A Ste 100, Deland, FL 32720. The listed phone number is (386) 774-0016.

What is West Volusia Family And Sports Medicine Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is West Volusia Family And Sports Medicine Inc enrolled in Medicare?

Yes. West Volusia Family And Sports Medicine Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through West Volusia Family And Sports Medicine Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 3 Medicare specialties reassign their Medicare billing to West Volusia Family And Sports Medicine Inc. 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 (9), Family Practice (3) and Internal Medicine (2). Of these, 5 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does West Volusia Family And Sports Medicine Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1097742) is associated with this NPI, valid through April 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does West Volusia Family And Sports Medicine Inc accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list West Volusia Family And Sports Medicine Inc 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 West Volusia Family And Sports Medicine Inc 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 19 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.