INNOVATION WOUND CARE PLLC
NPI 1861298671
General Practice in St Petersburg, FL

Active since February 21, 2025
7901 4TH ST N, ST PETERSBURG, FL 33702(877) 970-4200 Get Directions Write a Review

NPPES record last updated: February 21, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Innovation Wound Care Pllc NPPES

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

INNOVATION WOUND CARE PLLC (NPI 1861298671) is a healthcare organization registered as a general practice in St Petersburg, Florida and active in the NPI registry since February 2025. The organization maintains 5 additional practice locations and lists Daniel Lang, Administrator, as its authorized official.

NPPES Registry Identity

NPI1861298671
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameINNOVATION WOUND CARE PLLC
Location Address7901 4TH ST NSt Petersburg, FL 33702-4305
Mailing Address7742 N Kendall Dr Ste 446Miami, FL 33156-7523
Organization SubpartNo
Authorized OfficialDaniel LangAdministrator · (877) 940-7200
Enumeration DateFebruary 21, 2025
NPPES CertifiedFebruary 21, 2025
✔ NPI 1861298671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
7901 4TH ST N, St Petersburg, FL 33702

Secondary Practice Locations 5

Location 1718 Honeysuckle RdDothan, AL 36305-1104 · Phone (877) 970-4200
Location 21001 Hospital RdStarkville, MS 39759-2125 · Phone (877) 970-4200
Location 3534 15th StLake Charles, LA 70601-7336 · Phone (877) 970-4200
Location 4701 Victoria StBrandon, FL 33510-4100 · Phone (877) 970-4200
Location 54145 Misty Morning WayGainesville, GA 30506-4319 · Phone (877) 970-4200

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Innovation Wound Care Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Innovation Wound Care PLLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (5)

General Surgery
NPI 1750324026
209 N CUTHBERT ST
Colquitt, GA 39837
(229) 758-3385
✔ PECOS✔ Accepts Medicare262 mi
Nurse Practitioner
NPI 1124985700
5440 THRASHER LN
Hephzibah, GA 30815
(706) 284-5276
✔ PECOS✔ Accepts Medicare383 mi
General Practice
NPI 1104218601
2213 CHERRY ST
Toledo, OH 43608
(973) 710-6202
✔ PECOS✔ Accepts Medicare954 mi
General Practice
NPI 1982958252
8773 52ND AVE APT 3A
Elmhurst, NY 11373
(877) 940-7200
✔ PECOS1,019 mi
Nurse Practitioner
NPI 1104409788
40 LA RIVIERE DR STE 140
Buffalo, NY 14202
(716) 893-1010
✔ PECOS✔ Accepts Medicare1,058 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 Innovation Wound Care PLLC's NPI number?

The NPI number for Innovation Wound Care PLLC is 1861298671. It was assigned to this organization in the NPPES registry on February 21, 2025.

Where is Innovation Wound Care PLLC located?

Innovation Wound Care PLLC is located at 7901 4th St N, St Petersburg, FL 33702. The listed phone number is (877) 970-4200.

What is Innovation Wound Care PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Innovation Wound Care PLLC enrolled in Medicare?

Yes. Innovation Wound Care PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Innovation Wound Care PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Innovation Wound Care PLLC, in General Practice, General Surgery 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Innovation Wound Care PLLC was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.