Thrivewell Lifestyle Medicine PA
NPI 1780407254 · Family Medicine Physician · Daytona Beach, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Thrivewell Lifestyle Medicine PA is a Family Medicine Physician organization in Daytona Beach, FL (NPI 1780407254).
Provider details
- NPI number
- 1780407254
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gary Pitts, Owner(386) 488-1449
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
1 yr 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
- 2024-11-04
- Last updated
- 2024-11-04
- Certified
- 2024-11-04
Frequently asked questions
- What is Thrivewell Lifestyle Medicine PA's NPI number?
- Thrivewell Lifestyle Medicine PA's National Provider Identifier (NPI) is 1780407254, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Thrivewell Lifestyle Medicine PA?
- Thrivewell Lifestyle Medicine PA is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Thrivewell Lifestyle Medicine PA located?
- Thrivewell Lifestyle Medicine PA's practice location on file with NPPES is 817 Bama Breeze Dr, Daytona Beach, FL 32124-3799.
- What is Thrivewell Lifestyle Medicine PA's phone number?
- The practice phone number listed in the NPPES registry for Thrivewell Lifestyle Medicine PA is (386) 488-1449.
- Does Thrivewell Lifestyle Medicine PA accept Medicare?
- Thrivewell Lifestyle Medicine PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Thrivewell Lifestyle Medicine PA?
- The authorized official listed on Thrivewell Lifestyle Medicine PA's NPPES record is Gary Pitts, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Thrivewell Lifestyle Medicine PA's NPI active?
- Yes — Thrivewell Lifestyle Medicine PA's NPI (1780407254) is active in the NPPES registry as of the last update on 2024-11-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.