Sma Healthcare Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Bunnell, FL
NPI 1215735162 · NPPES record last updated Feb 12, 2026
Key facts
- NPI
- 1215735162
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- SMA HEALTHCARE INC
- Practice address
- 301 Dr Carter Blvd
Bunnell, FL 32110-6212 - Phone
- (800) 539-4228
- Fax
- (386) 254-1237
- NPI assigned
- Mar 6, 2025
- Organization subpart
- Yes
- Parent organization (as reported)
- SMA HEALTHCARE INC
Authorized official
- Name
- Ivan Cosimi
- Title
- Ceo
- Phone
- (386) 236-1811
Owners & managing parties with NPI records 2
-
Salman Ahmed, MD
-
Yusef Antonio Canaan, M.D.
Owned or controlled facilities with NPI records 1
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 28
Practitioners 39
-
Cheryl Dee Adkinson, APRN
-
Ashley Badal, DNP, APRN, PMHNP-BC
-
Matthew Robert Baxter, PMHNP-C
-
Devon Beneby, APRN, PMHNP-BC
-
Tananarieve P Brown, ARNP
-
Cinnamon Lee Carlson, PMHNP-BC
-
Shavarne Carter, LMHC
-
Robert Aloysius Crimmins, LCSW
-
Cassey Marie Cuevas, PMHNP-BC
-
Siobhan M Douglas, LCSW
-
Lana A Ecker, FNP-C
-
Monica Escobar, LMHC
-
Brittany C Gaskin, APRN
-
Tamera Dawn Graziano, ARNP
-
Rebecca Lynne Hayes, ARNP
-
Carla Hill, APRN, PMHNP-BC
-
Heather Andrea Johnson, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Federally qualified health center certification: CCN C11075
- Legal name
- SMA HEALTHCARE INC
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Mar 20, 2026
- Last certification
- Mar 20, 2026
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 301 Dr Carter Blvd
Bunnell, FL 32110-6212
All disclosed owners & managing parties 16
| Name | Role | Since | Share |
|---|---|---|---|
| Richard Curley |
Corporate Officer |
Apr 10, 2000 | |
| Deborah B Allen |
Other |
Jun 13, 2023 | |
| Jennifer Upchurch |
Corporate Director |
Jul 31, 2023 | |
| Charles B Bates |
Other |
Jun 13, 2023 | |
| Salman Ahmed |
Other |
Jun 13, 2023 | |
| Ivan Cosimi |
Corporate Officer |
Jun 13, 2023 | 100% |
| Operational/Managerial Control |
Jun 13, 2023 | 100% | |
| Austin Brownlee |
Other |
Jun 13, 2023 | |
| Sarah K Burman |
Corporate Officer |
Apr 14, 2008 | |
| Richard B Casey |
Other |
Jun 13, 2023 | |
| Debra K East |
Other |
Jun 13, 2023 | |
| Bernard Fleming |
Other |
Jun 13, 2023 | |
| Kelly Mellichampe |
Corporate Officer |
Nov 18, 2019 | |
| Andrea C Schweizer |
Corporate Officer |
Jun 13, 2023 | |
| Nicole Sharbono |
Corporate Officer |
Sep 13, 2012 | |
| Yusef Canaan |
Corporate Officer |
Oct 1, 2021 | |
| Alvin B Jackson |
Other |
Jun 13, 2023 |
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Sma Healthcare Inc |
Federally qualified health center | Operational/Managerial Control (100%) Other |
Oct 1, 2022 Oct 1, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260320001493 | FL | Part a Provider - Federally Qualified Health Center (FQHC) | 0244226363 | Practice locations: Bunnell, FL |
National Provider Directory
- Tax ID family
- Sma Healthcare Inc
- Part of
- Sma Healthcare Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes | ||
| Primary Care Clinic/Center | 261QP2300X |
Addresses
Primary practice location
301 Dr Carter Blvd
Bunnell, FL 32110-6212
Mailing address
150 Magnolia Ave
Daytona Beach, FL 32114-4304
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 129832900 | Medicaid | FL |
Other providers in Bunnell, FL
- Kimberly A Sanfilippo
- Janette L Schultz
- Tabatha L Seppala
- Edward Charles Siarkowicz
- Sma Healthcare Inc
- Sma Healthcare Inc
- Sma Healthcare Inc
- Sma Healthcare Inc
- Starace Total Balance Physical Therapy P.a.
- Michael Brandon Starace
All providers in Bunnell, FL · Federally Qualified Health Center (FQHC) in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.