THRIVEWELL LIFESTYLE MEDICINE PA
NPI 1780407254
Family Medicine in Daytona Beach, FL
About Thrivewell Lifestyle Medicine Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THRIVEWELL LIFESTYLE MEDICINE PA (NPI 1780407254) is a healthcare organization registered as a family medicine in Daytona Beach, Florida and active in the NPI registry since November 2024. The organization lists Gary Pitts, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Thrivewell Lifestyle Medicine Pa 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 Thrivewell Lifestyle Medicine PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Thrivewell Lifestyle Medicine PA's NPI number?
The NPI number for Thrivewell Lifestyle Medicine PA is 1780407254. It was assigned to this organization in the NPPES registry on November 4, 2024.
Where is Thrivewell Lifestyle Medicine PA located?
Thrivewell Lifestyle Medicine PA is located at 817 Bama Breeze Dr, Daytona Beach, FL 32124. The listed phone number is (386) 488-1449.
What is Thrivewell Lifestyle Medicine PA's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Thrivewell Lifestyle Medicine PA enrolled in Medicare?
Yes. Thrivewell Lifestyle Medicine PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Thrivewell Lifestyle Medicine PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Thrivewell Lifestyle Medicine PA. 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 Thrivewell Lifestyle Medicine PA was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Thrivewell Lifestyle Medicine Pa · NPI 1780407254
Family Medicine organization in Daytona Beach, Florida. Organization record, active in the CMS NPPES registry since November 4, 2024.
## Identity
- **NPI:** 1780407254 (Entity type: Organization)
- **Enumerated:** November 4, 2024
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Gary Pitts, OWNER
## Practice location
- **Address:** 817 BAMA BREEZE DR, Daytona Beach, FL 32124-3799
- **Phone:** (386) 488-1449
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 4, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1780407254) · Data from the CMS NPPES public registry.