AdventHealth Palm Coast – General Acute Care Hospital, NPI 1679678486

AdventHealth Palm Coast is a healthcare provider. based in Ormond beach, Florida. specializing in General Acute Care Hospital. The organization holds a License No. 4465 (FL). The NPI Number for AdventHealth Palm Coast is 1679678486

Main info

Organization
Name
AdventHealth Palm Coast
NPI
1679678486
Phone
(386) 312-4252
Address
770 W GRANADA BLVD STE 203
Authorized Official
MR. MARK RATHBUN CHIEF FINANCIAL OFFICER
Enumeration Date
14 September 2006
Last Update Date
8 August 2024

Contacts

Main Contact
https://www.mettles.com/
Main Contact
https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness90
Years active:19State licenses:1Updated within 12 months

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Provider Addresses for AdventHealth Palm Coast

  • 203, Granada Boulevard, Ormond Beach, Volusia County, Florida, 32174, United States

    ORMOND BEACH, FL 321745179

    Phone: (386) 312-4252

    Type: Mailing

  • Florida Hospital Flagler, 60, Memorial Medical Parkway, Palm Coast, Flagler County, Florida, 32164, United States

    PALM COAST, FL 321645980

    Phone: (386) 586-2000

    Type: Location

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: 2025-10-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-06-30 (345 days ago).

Enrollment records

3

Earliest due date

2025-06-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20040514000202OClinic/Group PracticeFLTBD
O20040922000189OHospitalFL2025-06-30
O20251021001736OIntensive Cardiac RehabilitationFLTBD

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

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 32174)

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Reviews

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Frequently asked questions

How is AdventHealth Palm Coast identified in CMS data?
CMS-hosted NPPES data lists AdventHealth Palm Coast with NPI 1679678486.
Is AdventHealth Palm Coast still practicing?
AdventHealth Palm Coast is currently listed as active in the public NPI registry.
What is AdventHealth Palm Coast's primary classification?
General Acute Care Hospital is the headline specialty for AdventHealth Palm Coast here. Clinical services aligned with this taxonomy classification.
Where is AdventHealth Palm Coast based?
AdventHealth Palm Coast is tied to Ormond Beach, Florida in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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