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ADVENTHEALTH MEDICAL GROUP
NPI 1922115914
Surgery in Daytona Beach, FL

Active since August 24, 2006CLIA Certified · 8 labs
305 MEMORIAL MEDICAL PKWY STE 205, DAYTONA BEACH, FL 32117(386) 231-3530 Get Directions Write a Review

NPPES record last updated: April 28, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 28, 2022, Aug 6, 2019, Apr 22, 2019 and 1 more (4 updates tracked since 2019).

About Adventhealth Medical Group NPPES

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

ADVENTHEALTH MEDICAL GROUP (NPI 1922115914) is a healthcare organization registered as a surgery in Daytona Beach, Florida and active in the NPI registry since August 2006. The organization holds 8 active CLIA laboratory certificates, maintains 15 additional practice locations, and lists Cory Domayer, Cfo, as its authorized official.

NPPES Registry Identity

NPI1922115914
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameMEMORIAL HEALTH SYSTEMS INC
Location Address305 MEMORIAL MEDICAL PKWY STE 205Daytona Beach, FL 32117-5169
Mailing Address770 W Granada Blvd Ste 203Ormond Beach, FL 32174-5179 · (863) 231-4252 · Fax (386) 676-2560
Phone(386) 231-3530
Organization SubpartNo
Authorized OfficialCory DomayerCfo · (386) 231-3906
Enumeration DateAugust 24, 2006
Last NPPES UpdateApril 28, 20224 updates tracked since enumeration
NPPES CertifiedApril 28, 2022
✔ NPI 1922115914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
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.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
305 MEMORIAL MEDICAL PKWY STE 205, Daytona Beach, FL 32117
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Other Names 1

Doing Business AsAdventhealth Medical Group

Secondary Practice Locations 15

Location 11890 Lpga Blvd Ste 170Daytona Beach, FL 32117-7131 · Phone (386) 274-3354
Location 21050 W Granada Blvd Ste 2AOrmond Beach, FL 32174-8155 · Phone (386) 231-3050
Location 31893 N Clyde Morris Blvd Ste 100Daytona Beach, FL 32117-5536 · Phone (386) 677-0531
Location 4290 Clyde Morris Blvd Ste A2Ormond Beach, FL 32174-8204 · Phone (386) 231-3490
Location 5335 Clyde Morris Blvd Ste 240Ormond Beach, FL 32174-3197 · Phone (386) 231-3561
Location 65535 S Williamson Blvd Ste 700Port Orange, FL 32128-8321 · Phone (386) 231-6300
Location 7305 Memorial Medical Pkwy Ste 201Daytona Beach, FL 32117-5169 · Phone (386) 231-3530
Location 8305 Memorial Medical Pkwy Ste 209Daytona Beach, FL 32117-5169 · Phone (386) 231-3520
Location 9305 Memorial Medical Pkwy Ste 207Daytona Beach, FL 32117-5169 · Phone (386) 231-3525
Location 10305 Memorial Medical Pkwy Ste 307Daytona Beach, FL 32117-5169 · Phone (386) 231-3512
Location 11305 Memorial Medical Pkwy Ste 308Daytona Beach, FL 32117-5137 · Phone (386) 231-3602
Location 12305 Memorial Medical Pkwy Ste 400Daytona Beach, FL 32117-5169 · Phone (386) 231-3580
Location 13305 Memorial Medical Pkwy Ste 401Daytona Beach, FL 32117-5169 · Phone (386) 231-3612
Location 14301 Memorial Medical PkwyDaytona Beach, FL 32117-5167 · Phone (386) 231-6000
Location 15305 Memorial Medical Pkwy Ste 208Daytona Beach, FL 32117-5169 · Phone (386) 231-3593 · Fax (386) 672-9904

Other Identifiers 1

Other40181JFL · Medicare Id Unspecified

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 9

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 10D0945075

Adventhealth Medical Group Ob Gyn At Daytona Beach · Daytona Beach, FL
Active · expires Apr 23, 2028
CLIA Number10D0945075
Laboratory TypePractitioner Other
Certificate Effective DateApril 24, 2026
Certificate Expiration DateApril 23, 2028
Laboratory DirectorSergio J. Vignail
Laboratory Phone(386) 231-3580
Laboratory LocationAdventhealth Medical Group Ob Gyn At Daytona Beach305 Memorial Medical Pkwy Ste 400, Daytona Beach, FL 32117
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D0985325

Adventhealth Medical Group Family Medicine At Twin Lakes · Daytona Beach, FL
Active · expires Jan 13, 2028
CLIA Number10D0985325
Laboratory TypePhysician Office
Certificate Effective DateJanuary 14, 2026
Certificate Expiration DateJanuary 13, 2028
Laboratory DirectorCarol Tanner-St James
Laboratory Phone(386) 231-3284
Laboratory LocationAdventhealth Medical Group Family Medicine At Twin Lakes1890 Lpga Blvd Ste 170, Daytona Beach, FL 32117
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D0267662

Adventhealth Medical Group Family Medicine Port Orange Heath Park · Port Orange, FL
Active · expires Nov 27, 2026
CLIA Number10D0267662
Laboratory TypePhysician Office
Certificate Effective DateNovember 28, 2024
Certificate Expiration DateNovember 27, 2026
Laboratory DirectorHaroldo De Carvalho Melo
Laboratory Phone(386) 231-6300
Laboratory LocationAdventhealth Medical Group Family Medicine Port Orange Heath Park5821 S Williamson Blvd Suite 204,, Port Orange, FL 32128
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2184733

Adventhealth Medical Group Pediatric Diabetes And Endocrinology At Daytona · Daytona Beach, FL
Active · expires May 22, 2028
CLIA Number10D2184733
Laboratory TypePhysician Office
Certificate Effective DateMay 23, 2026
Certificate Expiration DateMay 22, 2028
Laboratory DirectorKonda Reddy
Laboratory Phone(407) 303-4190
Laboratory LocationAdventhealth Medical Group Pediatric Diabetes And Endocrinology At Daytona305 Memorial Medical Pkwy - Ste 408, Daytona Beach, FL 32117
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2339644

Adventhealth Medical Group Ob Gyn At Daytona Beach · Daytona Beach, FL
Active · expires Mar 4, 2028
CLIA Number10D2339644
Laboratory TypePhysician Office
Certificate Effective DateMarch 5, 2026
Certificate Expiration DateMarch 4, 2028
Laboratory DirectorZachary Tyser
Laboratory Phone(386) 252-4701
Laboratory LocationAdventhealth Medical Group Ob Gyn At Daytona Beach1890 Lpga Blvd Suite 160, Daytona Beach, FL 32117
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2054764

Adventhealth Medical Group Family Medicine At Daytona Beach · Daytona Beach, FL
Active · expires Jan 8, 2028
CLIA Number10D2054764
Laboratory TypePhysician Office
Certificate Effective DateJanuary 9, 2026
Certificate Expiration DateJanuary 8, 2028
Laboratory DirectorChloe Kindred
Laboratory Phone(386) 231-3570
Laboratory LocationAdventhealth Medical Group Family Medicine At Daytona Beach305 Memorial Medical Pkwy Ste 502, Daytona Beach, FL 32117
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHERINE DINAN
Nurse Practitioner (Family)
305 MEMORIAL MEDICAL PKWY STE 205
DAYTONA BEACH, FL 32117
Volusia County (386) 231-3530

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 Memorial Health Systems Inc's NPI number?

The NPI number for Memorial Health Systems Inc is 1922115914. It was assigned to this organization in the NPPES registry on August 24, 2006. The provider is doing business as Adventhealth Medical Group.

Where is Memorial Health Systems Inc located?

Memorial Health Systems Inc is located at 305 Memorial Medical Pkwy Ste 205, Daytona Beach, FL 32117. The listed phone number is (386) 231-3530.

What is Memorial Health Systems Inc's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Does Memorial Health Systems Inc hold CLIA laboratory certificates?

Yes. 8 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Memorial Health Systems Inc accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Memorial Health Systems Inc 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 Memorial Health Systems Inc was last updated on April 28, 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.