Southwest Volusia Healthcare Corporation
NPI 1902095078 · Internal Medicine Physician · Orange City, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southwest Volusia Healthcare Corporation is a Internal Medicine Physician organization in Orange City, FL (NPI 1902095078).
Provider details
- NPI number
- 1902095078
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Southwest Volusia Healthcare Corporation
- Organization subpart
- Yes
- Authorized official
- Kyle Glass, Chief Financial Officer(386) 917-5017
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- General Practice Physician208D00000X
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
Other names (DBA / former)
- Doing business as
- Adventhealth Medical Group
- Doing business as
- Southwest Volusia Medical Associates
- Doing business as
- Southwest Volusia Medical Associates
Registry dates
- Enumerated
- 2007-10-15
- Last updated
- 2021-02-26
- Certified
- 2021-02-26
Frequently asked questions
- What is Southwest Volusia Healthcare Corporation's NPI number?
- Southwest Volusia Healthcare Corporation's National Provider Identifier (NPI) is 1902095078, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southwest Volusia Healthcare Corporation?
- Southwest Volusia Healthcare Corporation is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Southwest Volusia Healthcare Corporation located?
- Southwest Volusia Healthcare Corporation's practice location on file with NPPES is 1055 Saxon Blvd, Orange City, FL 32763-8468.
- What is Southwest Volusia Healthcare Corporation's phone number?
- The practice phone number listed in the NPPES registry for Southwest Volusia Healthcare Corporation is (386) 917-5000.
- Does Southwest Volusia Healthcare Corporation accept Medicare?
- Southwest Volusia Healthcare Corporation 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 Southwest Volusia Healthcare Corporation?
- The authorized official listed on Southwest Volusia Healthcare Corporation's NPPES record is Kyle Glass, Chief Financial Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southwest Volusia Healthcare Corporation's NPI active?
- Yes — Southwest Volusia Healthcare Corporation's NPI (1902095078) is active in the NPPES registry as of the last update on 2021-02-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.