SOUTH TITUSVILLE MEDICAL CENTER INC
NPI 1821031683
Clinic/Center - Health Service in Titusville, FL
About South Titusville Medical Center Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH TITUSVILLE MEDICAL CENTER INC (NPI 1821031683) is a healthcare organization registered as a health service in Titusville, Florida and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through April 26, 2028 and lists Charles A Slattery, Owner/ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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 Titusville Medical Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to South Titusville Medical Center Inc, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 10D0919422
South Titusville Medical Center Inc · Titusville, FLFrequently 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 Titusville Medical Center Inc's NPI number?
The NPI number for South Titusville Medical Center Inc is 1821031683. It was assigned to this organization in the NPPES registry on June 13, 2006.
Where is South Titusville Medical Center Inc located?
South Titusville Medical Center Inc is located at 7455 S Us Highway 1, Titusville, FL 32780. The listed phone number is (321) 264-2100.
What is South Titusville Medical Center Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.
Is South Titusville Medical Center Inc enrolled in Medicare?
Yes. South Titusville Medical Center Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through South Titusville Medical Center Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to South Titusville Medical Center Inc, in Internal Medicine and Nurse Practitioner. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does South Titusville Medical Center Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D0919422) is associated with this NPI, valid through April 26, 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 Titusville Medical Center Inc was last updated on October 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# South Titusville Medical Center Inc · NPI 1821031683
Health Service organization in Titusville, Florida. Organization record, active in the CMS NPPES registry since June 13, 2006.
## Identity
- **NPI:** 1821031683 (Entity type: Organization)
- **Enumerated:** June 13, 2006
- **Primary specialty:** Clinic/Center - Health Service · taxonomy 261QH0100X
- **Organization subpart:** No
- **Authorized official:** Charles Slattery, OWNER/CEO
## Practice location
- **Address:** 7455 S US HIGHWAY 1, Titusville, FL 32780-8115
- **Phone:** (321) 264-2100 · **Fax:** (321) 264-2485
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Internal Medicine (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 22, 2014
- **Other identifiers:** Medicaid 062108100 (FL); Medicare UPIN D20979 (FL); Medicare ID-Type Unspecified 38876 (FL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1821031683) · Data from the CMS NPPES public registry.