Parrish Medical Group – Multi-Specialty Clinic/Center, NPI 1609834886
Multi-Specialty Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Parrish Medical Group
494 N Washington Ave
Titusville, FL 327962871
Phone: (321) 267-8311
Type: Location
5005 Port St John Pkwy
Port St John, FL 329274305
Phone: (321) 504-0556
Fax: (321) 504-0773
Type: Location
390 Challenger Rd
Cape Canaveral, FL 329204200
Phone: (321) 633-8640
Fax: (321) 633-8641
Type: Location
951 N Washington Ave
Titusville, FL 327962163
Phone: (321) 268-6834
Fax: (321) 268-6272
Type: Location
805 CENTURY MEDICAL DR STE C
TITUSVILLE, FL 327962100
Phone: (321) 268-6263
Fax: (321) 268-6273
Type: Mailing
250, Harrison Street, Titusville, Brevard County, Florida, 32780, United States
TITUSVILLE, FL 32780
Phone: (321) 268-6868
Fax: (321) 267-2713
Type: Location
Parrish Medical Center, 951, North Washington Avenue, Titusville, Brevard County, Florida, 32796, United States
TITUSVILLE, FL 327962163
Phone: (321) 268-6834
Fax: (321) 268-0125
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-01-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040130000385 | O | Clinic/Group Practice | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32796)
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