Primary Care Center of Port Orange
NPI 1295910834 · Family Medicine Physician · Port Orange, FL
Primary Care Center of Port Orange is a Family Medicine Physician organization in Port Orange, FL (NPI 1295910834).
Provider details
- NPI number
- 1295910834
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michelle Jackson, Office Manager(386) 761-0050
- License
- ME0028054 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-01-02
- Last updated
- 2011-03-29
Frequently asked questions
- What is Primary Care Center of Port Orange's NPI number?
- Primary Care Center of Port Orange's National Provider Identifier (NPI) is 1295910834, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Primary Care Center of Port Orange?
- Primary Care Center of Port Orange is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Primary Care Center of Port Orange located?
- Primary Care Center of Port Orange's practice location on file with NPPES is 4770 S Ridgewood Ave, Port Orange, FL 32127-4544.
- What is Primary Care Center of Port Orange's phone number?
- The practice phone number listed in the NPPES registry for Primary Care Center of Port Orange is (386) 761-0050.
- Who is the authorized official for Primary Care Center of Port Orange?
- The authorized official listed on Primary Care Center of Port Orange's NPPES record is Michelle Jackson, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Primary Care Center of Port Orange's NPI active?
- Yes — Primary Care Center of Port Orange's NPI (1295910834) is active in the NPPES registry as of the last update on 2011-03-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.