UPPERLINE HEALTHCARE, PC
NPI 1639904964
Podiatrist - Foot & Ankle Surgery in Daytona Beach, FL

Active since September 05, 2024CLIA 10D2311428 · Waiver
1890 LPGA BLVD STE 250, DAYTONA BEACH, FL 32117(386) 339-4065(855) 439-9682 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 29, 2026, May 19, 2026, Sep 5, 2024 (3 updates tracked since 2024).

About Upperline Healthcare, Pc NPPES

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

UPPERLINE HEALTHCARE, PC (NPI 1639904964) is a healthcare organization registered as a foot & ankle surgery in Daytona Beach, Florida and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through September 22, 2026 and lists Michael King, President, as its authorized official.

NPPES Registry Identity

NPI1639904964
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameUPPERLINE HEALTHCARE, PC
Location Address1890 LPGA BLVD STE 250Daytona Beach, FL 32117-7131
Mailing Address4101 Charlotte Ave Ste F185Nashville, TN 37209-4066
Fax(855) 439-9682
Organization SubpartNo
Authorized OfficialMichael KingPresident · (407) 219-5402
Enumeration DateSeptember 5, 2024
Last NPPES UpdateMay 29, 20263 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
NPI 1639904964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
1890 LPGA BLVD STE 250, Daytona Beach, FL 32117

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 10D2311428

Upperline Healthcare PC · Daytona Beach, FL
Active · expires Sep 22, 2026
CLIA Number10D2311428
Laboratory TypePhysician Office
Certificate Effective DateSeptember 23, 2024
Certificate Expiration DateSeptember 22, 2026
Laboratory DirectorJames Rust
Laboratory Phone(386) 339-4065
Laboratory LocationUpperline Healthcare PC1890 Lpga Blvd Suite 250, Daytona Beach, FL 32117
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1890 LPGA BLVD STE 250
DAYTONA BEACH, FL 32117
Physician Assistant (Surgical)
1890 LPGA BLVD STE 250
DAYTONA BEACH, FL 32117
Surgery
1890 LPGA BLVD STE 250
DAYTONA BEACH, FL 32117
Nurse Practitioner (Acute Care)
1890 LPGA BLVD STE 250
DAYTONA BEACH, FL 32117
Podiatrist (Foot & Ankle Surgery)
1890 LPGA BLVD STE 250
DAYTONA BEACH, FL 32117
Podiatrist (Foot & Ankle Surgery)
1890 LPGA BLVD STE 250
DAYTONA BEACH, FL 32117
Podiatrist (Foot & Ankle Surgery)
1890 LPGA BLVD STE 250
DAYTONA BEACH, FL 32117

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 Upperline Healthcare, PC's NPI number?

The NPI number for Upperline Healthcare, PC is 1639904964. It was assigned to this organization in the NPPES registry on September 5, 2024.

Where is Upperline Healthcare, PC located?

Upperline Healthcare, PC is located at 1890 Lpga Blvd Ste 250, Daytona Beach, FL 32117. The listed phone number is (386) 339-4065.

What is Upperline Healthcare, PC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Does Upperline Healthcare, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2311428) is associated with this NPI, valid through September 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Upperline Healthcare, PC was last updated on May 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.