SOUTH BEACH MEDICAL ASSOCIATES, LLC
NPI 1730943614
Family Medicine in Stuart, FL

Active since February 12, 2024CLIA 10D2300236 · Waiver
2100 SE OCEAN BLVD STE 200B, STUART, FL 34996(772) 252-5265(772) 874-3115 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About South Beach Medical Associates, Llc NPPES

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

SOUTH BEACH MEDICAL ASSOCIATES, LLC (NPI 1730943614) is a healthcare organization registered as a family medicine in Stuart, Florida and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through March 5, 2028 and lists Nevine N Mahmoud, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1730943614
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOUTH BEACH MEDICAL ASSOCIATES, LLC
Location Address2100 SE OCEAN BLVD STE 200BStuart, FL 34996-3332
Mailing Address2100 Se Ocean Blvd Ste 200bStuart, FL 34996-3332 · (772) 252-5265 · Fax (772) 874-3115
Fax(772) 874-3115
Organization SubpartNo
Authorized OfficialNevine N MahmoudMedical Director · (772) 874-3365
Enumeration DateFebruary 12, 2024
NPPES CertifiedFebruary 10, 2024
✔ NPI 1730943614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
2100 SE OCEAN BLVD STE 200B, Stuart, FL 34996

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Beach Medical Associates, Llc 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 South Beach Medical Associates, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1265608038
7991 BEECHMONT AVE
Cincinnati, OH 45255
(513) 346-3399
✔ PECOS852 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 10D2300236

South Beach Medical Associates LLC · Stuart, FL
Active · expires Mar 5, 2028
CLIA Number10D2300236
Laboratory TypePhysician Office
Certificate Effective DateMarch 6, 2026
Certificate Expiration DateMarch 5, 2028
Laboratory DirectorNevine N. Mahmoud
Laboratory Phone(772) 252-5265
Laboratory LocationSouth Beach Medical Associates LLC2100 SE Ocean Blvd Suite 200B, Stuart, FL 34996
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 8

Medicare supplier enrollment and the product categories South Beach Orthotics And Prostheti carries, from the Medicare DMEPOS supplier directory.

South Beach Orthotics And Prostheti

DMEPOS supplier · Sebring, FLOperated by South Beach Orthotics & Prosthetics, Inc
⋮

Does not accept Medicare assignment

South Beach Orthotics And Prostheti has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20587193
Medicare Participant SinceAugust 12, 2004
Supplier Location4147 Sun N Lake BlvdSebring, FL 33872
Supplier Specialties
Medical Supply Company Other MSC With Orthotic-Prosthetic Orthotic Personnel Prosthetic Personnel

Medicare Product Categories

Pneumatic Compression Devices and/or Supplies
Pnuematic compressor, Arm pneumatic appliance, Leg pneumatic appliance
Orthoses: Custom Fabricated
Custom met pads, Custom heel pads, Custom heel spur pads
Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Penile Pumps
Limb Prostheses
Prosthetic arms, Prosthetic feet, Prosthetic knees
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 South Beach Medical Associates, LLC's NPI number?

The NPI number for South Beach Medical Associates, LLC is 1730943614. It was assigned to this organization in the NPPES registry on February 12, 2024.

Where is South Beach Medical Associates, LLC located?

South Beach Medical Associates, LLC is located at 2100 SE Ocean Blvd Ste 200B, Stuart, FL 34996. The listed phone number is (772) 252-5265.

What is South Beach Medical Associates, LLC's specialty?

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

Is South Beach Medical Associates, LLC enrolled in Medicare?

Yes. South Beach Medical Associates, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Beach Medical Associates, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to South Beach Medical Associates, LLC. 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 South Beach Medical Associates, LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, South Beach Orthotics And Prostheti does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does South Beach Medical Associates, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2300236) is associated with this NPI, valid through March 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for South Beach Medical Associates, LLC was last updated on February 12, 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.