Idc of Volusia, LLC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

ME89116 Issued in FL

Legal business name

IDC OF VOLUSIA, LLC

Practice address

410 Palmetto St
New Smyrna Beach, FL 32168-7323

Phone

(386) 410-4981

Fax

(386) 410-4982

NPI assigned

May 13, 2006

Last updated

Jun 9, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Reba Isaac, MDNPI 1356348593

Title

MD

Phone

(386) 410-4981

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72538

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Reba K Isaac, M.D.

  • Specialist
  • New Smyrna Beach, FL
  • NPI 1356348593
  Medicare reassignment Care Compare group NPD Authorized official
• Latoya D Moody, ARNP

  • Acute Care Nurse Practitioner
  • Daytona Beach, FL
  • NPI 1558404970
  Medicare reassignment Care Compare group NPD
• Enitan O Ekwotafia, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Orlando, FL
  • NPI 1598904278
  Medicare reassignment Care Compare group
• Jacqueline Renee Terwilliger, ARNP-C

  • Nurse Practitioner
  • Daytona Beach, FL
  • NPI 1790745909
  NPD (past)
• Heaven Jade Turner, ARNP

  • Family Nurse Practitioner
  • New Smyrna Beach, FL
  • NPI 1649544305
  NPD (past)

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1154372241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321700070",
            "telephone_number": "386-410-4981",
            "fax_number": "386-410-4982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 PALMETTO ST",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687323",
            "telephone_number": "386-410-4981",
            "fax_number": "386-410-4982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDC OF VOLUSIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-13",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "ISAAC",
        "authorized_official_first_name": "REBA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "386-410-4981",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME89116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Huggard, PT
• Sharon Huggins
• Tyler Scott Hughes, PA-C
• Marc Bryan Hull, P.A.
• Theresa N Huyen, MD
• James Jonathan Inda, OTR/L
• Infinite Weillness Inc
• Kassandra Ingram, DMD
• Kimberly Michelle Ingram, LMHC
• Ips of New Smyrna LLC

• Infectious Disease Physician in New Smyrna Beach, FL
• Providers in New Smyrna Beach, FL by specialty
• Infectious Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.