AWA PRIMARY CARE PLLC
NPI 1699523340
Clinic/Center - Primary Care in Indialantic, FL

Active since May 08, 2024
97 NIEMIRA AVE APT E, INDIALANTIC, FL 32903(407) 579-1616(855) 642-2122 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Awa Primary Care Pllc NPPES

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

AWA PRIMARY CARE PLLC (NPI 1699523340) is a healthcare organization registered as a primary care in Indialantic, Florida and active in the NPI registry since May 2024. The organization lists Arilma Milagros Wong Arjona, Ceo, as its authorized official.

NPPES Registry Identity

NPI1699523340
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameAWA PRIMARY CARE PLLC
Location Address97 NIEMIRA AVE APT EIndialantic, FL 32903-2936
Mailing Address200 N Palm Ave Unit 33451Indialantic, FL 32903-5019 · (407) 579-1616 · Fax (833) 450-4891
Fax(855) 642-2122
Organization SubpartNo
Authorized OfficialArilma Milagros Wong ArjonaCeo · (407) 579-1616
Enumeration DateMay 8, 2024
NPPES CertifiedMay 8, 2024
✔ NPI 1699523340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
97 NIEMIRA AVE APT E, Indialantic, FL 32903

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Awa Primary Care Pllc 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 Awa Primary Care PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1598236697
150 COCONUT DR STE 101
Indialantic, FL 32903
(321) 516-5670
✔ PECOS✔ Accepts Medicare0.8 mi

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 Awa Primary Care PLLC's NPI number?

The NPI number for Awa Primary Care PLLC is 1699523340. It was assigned to this organization in the NPPES registry on May 8, 2024.

Where is Awa Primary Care PLLC located?

Awa Primary Care PLLC is located at 97 Niemira Ave Apt E, Indialantic, FL 32903. The listed phone number is (407) 579-1616.

What is Awa Primary Care PLLC's specialty?

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

Is Awa Primary Care PLLC enrolled in Medicare?

Yes. Awa Primary Care PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Awa Primary Care PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Awa Primary Care PLLC. 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.

When was this NPI record last updated?

The NPPES record for Awa Primary Care PLLC was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.