PRIMECARE AT TWIN LAKES LLC
NPI 1902809122
Clinic/Center - Urgent Care in Daytona Beach, FL

Active since May 23, 2005
1890 LPGA BLVD, STE 130, DAYTONA BEACH, FL 32117(386) 274-2212(386) 274-1508 Get Directions Write a Review

NPPES record last updated: March 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Primecare At Twin Lakes Llc NPPES

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

PRIMECARE AT TWIN LAKES LLC (NPI 1902809122) is a healthcare organization registered as an urgent care in Daytona Beach, Florida and active in the NPI registry since May 2005. The organization lists Charles Duva, President, as its authorized official.

NPPES Registry Identity

NPI1902809122
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NamePRIMECARE AT TWIN LAKES LLC
Location Address1890 LPGA BLVD, STE 130Daytona Beach, FL 32117-7130
Mailing Address1890 Lpga Blvd, Suite 130Daytona Beach, FL 32117-7130 · (386) 274-2212 · Fax (386) 274-1508
Fax(386) 274-1508
Organization SubpartNo
Authorized OfficialCharles DuvaPresident · (386) 274-7800
Enumeration DateMay 23, 2005
Last NPPES UpdateMarch 21, 2022
NPPES CertifiedMarch 21, 2022
✔ NPI 1902809122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
License✔ Licensed in FL · ME47294
1890 LPGA BLVD, Daytona Beach, FL 32117

Other Identifiers 3

Other77984FL · Bc/bs Of Fl Pa Group
OtherB90F7FL · Florida Blue
OtherDC0901FL · Railroad Medicare Group

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Primecare At Twin Lakes Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

19

Medicare enrollment records show 19 clinicians reassign Medicare billing to Primecare At Twin Lakes LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner7
Emergency Medicine6
Family Practice5
General Practice1

Clinicians, nearest first (19)

Emergency Medicine
NPI 1598155830
1890 LPGA BLVD STE 130 PRIMECARE AT TWIN LAKES
Daytona Beach, FL 32117
(386) 274-2212
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1902356314
1890 LPGA BLVD STE 130
Daytona Beach, FL 32117
(386) 274-2212
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1356075766
305 MEMORIAL MEDICAL PKWY
Daytona Beach, FL 32117
(386) 615-0900
✔ PECOS✔ Accepts Medicare1.6 mi
Family Practice
NPI 1003178880
201 N CLYDE MORRIS BLVD
Daytona Beach, FL 32114
(386) 254-4165
✔ PECOS2.8 mi
Family Practice
NPI 1932102159
1340 RIDGEWOOD AVE
Holly Hill, FL 32117
(386) 676-7130
✔ PECOS2.9 mi
Emergency Medicine
NPI 1396782074
222 S PENINSULA DR
Daytona Beach, FL 32118
(386) 310-2160
✔ PECOS4.5 mi
Nurse Practitioner
NPI 1306114483
4770 S RIDGEWOOD AVE
Port Orange, FL 32127
(386) 761-0050
✔ PECOS✔ Accepts Medicare8.9 mi
Emergency Medicine
NPI 1497794739
1055 SAXON BLVD., FLORIDA HOSPITAL FISH MEMORIAL
Orange City, FL 32763
(386) 917-5434
✔ PECOS25 mi
Family Practice
NPI 1538116355
1055 SAXON BLVD
Orange City, FL 32763
(386) 943-4522
✔ PECOS✔ Accepts Medicare25 mi
Emergency Medicine
NPI 1609895275
1055 SAXON BLVD
Orange City, FL 32763
(386) 943-4522
✔ PECOS✔ Accepts Medicare25 mi
Family Practice
NPI 1619938644
6100 SAINT JOHNS AVE STE 5
Palatka, FL 32177
(386) 530-5640
✔ PECOS46 mi
Nurse Practitioner
NPI 1477079036
2627 RIVERSIDE AVE
Jacksonville, FL 32204
(904) 308-7372
✔ PECOS83 mi
Emergency Medicine
NPI 1649222498
2200 OSPREY BLVD
Bartow, FL 33830
(941) 746-2065
✔ PECOS101 mi
General Practice
NPI 1124461124
290 NW PEACOCK BLVD #880891
Port Saint Lucie, FL 34986
(816) 398-8916
✔ PECOS✔ Accepts Medicare138 mi
Emergency Medicine
NPI 1932151792
151 E REDSTONE AVE
Crestview, FL 32539
(850) 650-5161
✔ PECOS344 mi
Nurse Practitioner
NPI 1124754163
501 W 7TH ST
Frederick, MD 21701
(240) 215-6310
✔ PECOS✔ Accepts Medicare733 mi
Nurse Practitioner
NPI 1447622600
5615 YORK RD
New Oxford, PA 17350
(717) 624-1337
✔ PECOS✔ Accepts Medicare768 mi
Family Practice
NPI 1619234770
14856 PRESTON RD STE 100
Dallas, TX 75254
(214) 590-8058
✔ PECOS✔ Accepts Medicare965 mi
Nurse Practitioner
NPI 1841922952
539 FARMINGTON AVE
Bristol, CT 06010
(860) 314-6046
✔ PECOS✔ Accepts Medicare973 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 Primecare At Twin Lakes LLC's NPI number?

The NPI number for Primecare At Twin Lakes LLC is 1902809122. It was assigned to this organization in the NPPES registry on May 23, 2005.

Where is Primecare At Twin Lakes LLC located?

Primecare At Twin Lakes LLC is located at 1890 Lpga Blvd Ste 130, Daytona Beach, FL 32117. The listed phone number is (386) 274-2212.

What is Primecare At Twin Lakes LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Is Primecare At Twin Lakes LLC enrolled in Medicare?

Yes. Primecare At Twin Lakes LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Primecare At Twin Lakes LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 4 Medicare specialties reassign their Medicare billing to Primecare At Twin Lakes 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. The largest specialties are Nurse Practitioner (7), Emergency Medicine (6) and Family Practice (5). Of these, 2 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Primecare At Twin Lakes LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Florida Health Care Plans, Health First Commercial Plans, Inc. and Oscar Health Maintenance Organization of Florida list Primecare At Twin Lakes LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Primecare At Twin Lakes LLC was last updated on March 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.