ADVENTHEALTH MEDICAL GROUP
NPI 1922115914
Surgery in Daytona Beach, FL
NPI Status: Active since August 24, 2006
Contact Information
305 MEMORIAL MEDICAL PKWY STE 205
DAYTONA BEACH, FL
ZIP 32117
Phone: (386) 231-3530
- Organization
- Surgery
- Accepts Insurance
- CLIA Number: 10D0985325
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-13-2028
About ADVENTHEALTH MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Adventhealth Medical Group, a provider established in Daytona Beach, Florida operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1922115914 assigned on August 2006. The practitioner's primary taxonomy code is 208600000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Adventhealth Medical Group operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Adventhealth Medical Group. The authorized official of this NPI record is Cory Domayer (Cfo)
- NPI
- 1922115914
- Provider Legal Name
- MEMORIAL HEALTH SYSTEMS INC
- Other Organization Name
- ADVENTHEALTH MEDICAL GROUP
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 305 MEMORIAL MEDICAL PKWY STE 205 DAYTONA BEACH, FL 32117
- Location Phone
- (386) 231-3530
- Mailing Address
- 770 W GRANADA BLVD STE 203 ORMOND BEACH, FL 32174
- Mailing Phone
- (863) 231-4252
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-24-2006
- Last Update Date
- 04-28-2022
- Code Navigator
A surgeon like Adventhealth Medical Group treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.
Location Map
Secondary Locations
- 1893 N Clyde Morris Blvd Ste 100
Daytona Beach, FL 32117
(386) 677-0531 - 290 Clyde Morris Blvd Ste A2
Ormond Beach, FL 32174
(386) 231-3490 - 1890 Lpga Blvd Ste 170
Daytona Beach, FL 32117
(386) 274-3354 - 1050 W Granada Blvd Ste 2A
Ormond Beach, FL 32174
(386) 231-3050 - 335 Clyde Morris Blvd Ste 240
Ormond Beach, FL 32174
(386) 231-3561 - 5535 S Williamson Blvd Ste 700
Port Orange, FL 32128
(386) 231-6300 - 305 Memorial Medical Pkwy Ste 201
Daytona Beach, FL 32117
(386) 231-3530 - 305 Memorial Medical Pkwy Ste 209
Daytona Beach, FL 32117
(386) 231-3520 - 305 Memorial Medical Pkwy Ste 207
Daytona Beach, FL 32117
(386) 231-3525 - 305 Memorial Medical Pkwy Ste 307
Daytona Beach, FL 32117
(386) 231-3512 - 305 Memorial Medical Pkwy Ste 308
Daytona Beach, FL 32117
(386) 231-3602 - 305 Memorial Medical Pkwy Ste 401
Daytona Beach, FL 32117
(386) 231-3612 - 305 Memorial Medical Pkwy Ste 400
Daytona Beach, FL 32117
(386) 231-3580 - 301 Memorial Medical Pkwy
Daytona Beach, FL 32117
(386) 231-6000 - 305 Memorial Medical Pkwy Ste 208
Daytona Beach, FL 32117
(386) 231-3593
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery
- Taxonomy Code
- 208600000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 2 | 207RP1001X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 3 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | |
| 4 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- AvMed Entrust Bronze 600 (2026) - HMO
- AvMed Entrust Bronze 650 (2026) - HMO
- AvMed Entrust Expanded Bronze Standard (2026) - HMO
- AvMed Entrust Gold 125 (2026) - HMO
- AvMed Entrust Gold 125 Dental+Vision (2026) - HMO
- AvMed Entrust Gold Standard (2026) - HMO
- AvMed Entrust Platinum 25 (2026) - HMO
- AvMed Entrust Platinum 25 Dental+Vision (2026) - HMO
- AvMed Entrust Platinum Standard (2026) - HMO
- AvMed Entrust Silver 350 (2026) - HMO
- BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
- BlueOptions Bronze 24J01-04 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-06 (Rewards) - PPO
- BlueOptions Bronze 24J01-17 ($50 PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-18S ($50 PCP Visits / Rewards) - PPO
- BlueOptions Gold 24J01-09 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - PPO
- BlueOptions Gold 24J01-12 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) - PPO
- BlueOptions Gold 24J01-20S ($30 PCP Visits / $60 Specialist Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-05 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-08 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - PPO
- BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
- BlueCare Bronze 24K01-03 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
- BlueCare Bronze 24K01-05 (Rewards) - POS
- BlueCare Bronze 24K01-25 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
- BlueCare Bronze 24K01-31S ($50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-17 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
- BlueCare Bronze 24K02-18 (Rewards) - POS
- BlueCare Bronze 24K02-23 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
- BlueCare Bronze 24K02-26S ($50 PCP Visits / Rewards) - POS
- BlueCare Gold 24K01-08 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - POS
- Wellpoint Essential Bronze 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze 5500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze 7500 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
- Wellpoint Essential Catastrophic (+ Incentives) - HMO
- Wellpoint Essential Gold 1400 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Gold 2000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
- Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Gold 800 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 40181J | OTHER (01) | FL | MEDICARE ID UNSPECIFIED |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D0985325
- Facility Type
- Physician Office
- Certificate Effective Date
- January 14, 2026
- Certificate Expiration Date
- January 13, 2028
- Laboratory Director
- CAROL TANNER-ST JAMES
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Adventhealth Medical Group to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1922115914, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
DAYTONA BEACH, FL 32117
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922115914, enumerated as an "organization" on August 24, 2006.
The provider is located at 305 MEMORIAL MEDICAL PKWY STE 205 DAYTONA BEACH, FL 32117 and the phone number is (386) 231-3530.
Surgery with taxonomy code 208600000X.
The provider might be accepting Accepts: AvMed, Florida Blue (BlueCross BlueShield FL),. Please consult your insurance carrier or call the provider to verify.
