ADVENTHEALTH PALM COAST PARKWAY – General Acute Care Hospital, NPI 1861102345

ADVENTHEALTH PALM COAST PARKWAY is a healthcare provider. based in Ormond beach, Florida. specializing in General Acute Care Hospital. The NPI Number for ADVENTHEALTH PALM COAST PARKWAY is 1861102345

Main info

Organization
Name
ADVENTHEALTH PALM COAST PARKWAY
NPI
1861102345
Phone
(386) 312-4252
Address
770 W GRANADA BLVD STE 203
Authorized Official
MARK RATHBUN CFO
Enumeration Date
25 November 2022
Last Update Date
18 January 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
Experience21
Completeness90
Years active:3State licenses:0Updated within 12 months

Provider Addresses for ADVENTHEALTH PALM COAST PARKWAY

  • 770 W GRANADA BLVD STE 203

    ORMOND BEACH, FL 321745179

    Phone: (386) 312-4252

    Fax: (386) 676-2560

    Type: Mailing

  • 1 ADVENTHEALTH WAY

    PALM COAST, FL 32127

    Phone: (386) 586-4301

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2023-06-20

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20230620002862OHospitalFLTBD

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.

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)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I verify ADVENTHEALTH PALM COAST PARKWAY with an NPI only?
You can start verification with NPI 1861102345 for ADVENTHEALTH PALM COAST PARKWAY, then check state licensing separately.
Can I rely on ADVENTHEALTH PALM COAST PARKWAY being an active provider?
As of the registry snapshot, ADVENTHEALTH PALM COAST PARKWAY is marked active.
What taxonomy line describes ADVENTHEALTH PALM COAST PARKWAY?
For research purposes, treat ADVENTHEALTH PALM COAST PARKWAY as General Acute Care Hospital in this dataset. Clinical services aligned with this taxonomy classification.
Where is ADVENTHEALTH PALM COAST PARKWAY based?
ADVENTHEALTH PALM COAST PARKWAY is tied to Ormond Beach, Florida in the data we show; additional addresses may exist on the full record.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

AdventHealth Waterman

General Acute Care Hospital
203, Granada Boulevard, Ormond Beach, Volusia County, Florida, 32174, United States
NPI: 1821019571

AdventHealth Daytona Beach

General Acute Care Hospital
203, Granada Boulevard, Ormond Beach, Volusia County, Florida, 32174, United States
NPI: 1063426823

AdventHealth Palm Coast

General Acute Care Hospital
203, Granada Boulevard, Ormond Beach, Volusia County, Florida, 32174, United States
NPI: 1679678486

Florida Hospital Fish Memorial

General Acute Care Hospital
203, Granada Boulevard, Ormond Beach, Volusia County, Florida, 32174, United States
NPI: 1700978558

AdventHealth DeLand

General Acute Care Hospital
770 W GRANADA BLVD STE 203
NPI: 1649367269

AdventHealth New Smyrna Beach

General Acute Care Hospital
770 W GRANADA BLVD STE 203
NPI: 1871977942