NPIMap

Organization Active NPI

Sma Healthcare Inc

  • Clinic/Center
  • Daytona Beach, FL
National Provider Identifier
1134059199
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SMA HEALTHCARE INC
Practice address
3875 Tiger Bay Rd
Daytona Beach, FL 32124-1063
Phone
(800) 539-4228
NPI assigned
May 21, 2026
Last updated
May 21, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SMA HEALTHCARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kevin Bunn
Title
Contracting Manager
Phone
(386) 236-3273

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

3875 Tiger Bay Rd
Daytona Beach, FL 32124-1063

Mailing address

150 Magnolia Ave
Daytona Beach, FL 32114-4304

Other identifiers 1

IdentifierTypeStateIssuer
060311220MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Act Corporation Laborat29 organizations share this tax ID, including this one
Part of
Act Corporation Laborat

Other organizations with this tax ID 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1779321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1134059199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MAGNOLIA AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3875 TIGER BAY RD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321241063",
            "telephone_number": "800-539-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMA HEALTHCARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SMA HEALTHCARE INC",
        "enumeration_date": "2026-05-21",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "BUNN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CONTRACTING MANAGER",
        "authorized_official_telephone_number": "386-236-3273"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060311220",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.