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DUNLAWTON FAMILY MEDICINE PLC
NPI 1629061767
Clinic/Center - Primary Care in Port Orange, FL

Active since August 24, 2005CLIA 10D2131445 · Waiver
790 DUNLAWTON AVE, SUITE E, PORT ORANGE, FL 32127(386) 760-1877(386) 760-2791 Get Directions Write a Review

NPPES record last updated: June 20, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dunlawton Family Medicine Plc NPPES

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

DUNLAWTON FAMILY MEDICINE PLC (NPI 1629061767) is a healthcare organization registered as a primary care in Port Orange, Florida and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through May 29, 2027 and lists Mark David Kendrick, President, as its authorized official.

NPPES Registry Identity

NPI1629061767
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameDUNLAWTON FAMILY MEDICINE PLC
Location Address790 DUNLAWTON AVE, SUITE EPort Orange, FL 32127-4222
Mailing Address790 Dunlawton Ave, Suite EPort Orange, FL 32127-4222 · (386) 760-1877 · Fax (386) 760-2791
Phone(386) 760-1877
Fax(386) 760-2791
Organization SubpartNo
Authorized OfficialMark David KendrickPresident · (386) 760-1877
Enumeration DateAugust 24, 2005
Last NPPES UpdateJune 20, 2012
✔ NPI 1629061767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
790 DUNLAWTON AVE, Port Orange, FL 32127
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN45360FL

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dunlawton Family Medicine Plc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dunlawton Family Medicine Plc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mark Kendrick, M.D.
Family Practice
NPI 1306947452
790 DUNLAWTON AVE SUITE E
Port Orange, FL 32127
(386) 760-1877
✔ PECOS✔ Accepts MedicareSame address

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 10D2131445

Dunlawton Family Medicine, Plc · Port Orange, FL
Active · expires May 29, 2027
CLIA Number10D2131445
Laboratory TypePhysician Office
Certificate Effective DateMay 30, 2025
Certificate Expiration DateMay 29, 2027
Laboratory DirectorMark Kendrick
Laboratory Phone(386) 304-9556
Laboratory LocationDunlawton Family Medicine, Plc790 Dunlawton Avenue Ste D, Port Orange, FL 32127
CLIA data matches this NPI record on: Address 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 Dunlawton Family Medicine Plc's NPI number?

The NPI number for Dunlawton Family Medicine Plc is 1629061767. It was assigned to this organization in the NPPES registry on August 24, 2005.

Where is Dunlawton Family Medicine Plc located?

Dunlawton Family Medicine Plc is located at 790 Dunlawton Ave Suite E, Port Orange, FL 32127. The listed phone number is (386) 760-1877.

What is Dunlawton Family Medicine Plc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Dunlawton Family Medicine Plc enrolled in Medicare?

Yes. Dunlawton Family Medicine Plc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dunlawton Family Medicine Plc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Dunlawton Family Medicine Plc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dunlawton Family Medicine Plc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2131445) is associated with this NPI, valid through May 29, 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 Dunlawton Family Medicine Plc was last updated on June 20, 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.