Individual provider Active NPI

Tabitha Nicole Townsend, M.D.

  • Hematology & Oncology Physician
  • Daytona Beach, FL
National Provider Identifier
1235423070
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
ME132706 Issued in FL
Practice address
303 N Clyde Morris Blvd Roc BLDG-2ND Floor
Halifax Health Center for Oncology
Daytona Beach, FL 32114-2709
Phone
(386) 254-4212
Fax
(386) 254-4214
NPI assigned
Jun 8, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MMD.33656 LL SC
Hematology & Oncology Physician 207RH0003X ME132706 FL Primary

Addresses

Primary practice location

303 N Clyde Morris Blvd Roc BLDG-2ND Floor
Halifax Health Center for Oncology
Daytona Beach, FL 32114-2709

Mailing address

Hhcsi
PO Box 732901
Dallas, TX 75373-2901
Phone (386) 226-4590

Other practice location 1

169 Ashley Ave
Room 202 Main Hospital MSC 333
Charleston, SC 29425-8905
Phone (843) 792-2300

Other identifiers 1

IdentifierTypeStateIssuer
021173500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170724000297 FL Practitioner - Hematology/OncologyPractitioner - Internal Medicine 9537386487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Saint Louis University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Halifax Healthcare Systems IncGroup PAC ID 1254238090, 345 clinicians

Practice addresses (Care Compare)

1041 Dunlawon Ave
Port Orange, FL 32127-7968
Phone (386) 322-4700

1185 Dunlawton Ave
Suite 105
Port Orange, FL 32127-2908
Phone (386) 322-4750

1688 W Granada Blvd
Ormond Beach, FL 32174-1818

303 N Clyde Morris Blvd
Daytona BCH, FL 32114-2709

3300 E Halifax Crossing Blvd
Deltona, FL 32725-2911
Phone (386) 425-6100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MMD.33656 LLSCMDInternal Medicine Physician
ME132706FLMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Halifax Healthcare Systems Inc CurrentSince Aug 1, 2017 Accepting new patients

Locations

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

303 N Clyde Morris Blvd
Bldg 2ND
Daytona Beach, FL 32114
Phone (386) 254-4212

1185 Dunlawton Ave
Ste 104
Port Orange, FL 32127
Phone (386) 767-5477

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1235423070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HHCSI",
            "address_2": "PO BOX 732901",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753732901",
            "telephone_number": "386-226-4590",
            "fax_number": "386-226-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N CLYDE MORRIS BLVD ROC BLDG-2ND FLOOR",
            "address_2": "HALIFAX HEALTH CENTER FOR ONCOLOGY",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142709",
            "telephone_number": "386-254-4212",
            "fax_number": "386-254-4214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "169 Ashley Ave",
            "address_2": "Room 202 Main Hospital MSC 333",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294258905",
            "country_code": "US",
            "telephone_number": "843-792-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOWNSEND",
        "first_name": "TABITHA",
        "middle_name": "NICOLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "MMD.33656 LL",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME132706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021173500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.