Sma Healthcare, Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

SMA HEALTHCARE, INC

Practice address

420 Stadium Road
Daytona Beach, FL 32114-2810

Phone

(800) 539-4228

Fax

(386) 236-3178

NPI assigned

Apr 10, 2020

Last updated

Jan 8, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

SMA HEALTHCARE, INCAs reported in NPPES

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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL3 enrollments

Enrollment records 3

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1255950168. Details of each certification follow.

• CCN 101834 Federally qualified health center · Active · Details
• CCN C11000 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 101834

Legal name

SMA HEALTHCARE INC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Dec 16, 2022

Last certification

Dec 16, 2022

Ownership / control type

For profit – corporation

Organization structure

OtherNon-profit

Incorporated

Nov 17, 1961 in FL

Enrollment address

420 Stadium Rd
Daytona Beach, FL 32114-2400

Federally qualified health center certification: CCN C11000

Legal name

SMA HEALTHCARE INC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Dec 20, 2023

Last certification

Dec 20, 2023

Ownership / control type

For profit – corporation

Organization structure

OtherNon-profit

Incorporated

Nov 17, 1961 in FL

Enrollment address

1220 Willis Ave
Daytona Beach, FL 32114-2810

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Sma Healthcare Inc

  • Federally Qualified Health Center (FQHC)
  • Bunnell, FL
  • NPI 1215735162

  0244226363

  Same PAC ID
• Sma Healthcare Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Daytona Beach, FL
  • NPI 1356329163

  0244226363

  Same PAC ID

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Sma Healthcare Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ocala, FL
  • NPI 1194397422

  O20040423000483

  Same enrollment
• Sma Healthcare Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Daytona Beach, FL
  • NPI 1356329163

  O20040423000483

  Same enrollment
• Sma Healthcare Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Inverness, FL
  • NPI 1366014615

  O20040423000483

  Same enrollment
• Sma Healthcare Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ocala, FL
  • NPI 1740853514

  O20040423000483

  Same enrollment
• Sma Healthcare Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Deland, FL
  • NPI 1902769714

  O20040423000483

  Same enrollment

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.

• Sma Healthcare Inc

  • Pharmacy
  • Bunnell, FL
  • NPI 1073481560
  NPD tax ID
• Sma Healthcare Inc

  • Substance Abuse Rehabilitation Facility
  • Daytona Beach, FL
  • NPI 1114905940
  NPD tax ID
• Sma Healthcare Inc

  • Clinic/Center
  • Daytona Beach, FL
  • NPI 1134059199
  NPD tax ID
• Sma Healthcare Inc

  • Substance Abuse Rehabilitation Facility
  • Deland, FL
  • NPI 1154286599
  NPD tax ID
• Sma Healthcare Inc

  • Case Management Agency
  • Ocala, FL
  • NPI 1164094405
  NPD tax ID
• Sma Healthcare Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ocala, FL
  • NPI 1194397422
  NPD tax ID
• Sma Healthcare Inc

  • Federally Qualified Health Center (FQHC)
  • Bunnell, FL
  • NPI 1215735162
  NPD tax ID
• Sma Healthcare Inc

  • Developmentally Disabled Services Day Training Agency
  • Daytona Beach, FL
  • NPI 1316132772
  NPD tax ID
• Sma Healthcare Inc

  • Case Management Agency
  • Daytona Beach, FL
  • NPI 1336127133
  NPD tax ID
• Sma Healthcare Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Daytona Beach, FL
  • NPI 1356329163
  NPD tax ID
• Sma Healthcare Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Inverness, FL
  • NPI 1366014615
  NPD tax ID
• Sma Healthcare Inc

  • Pharmacy
  • Daytona Beach, FL
  • NPI 1417939794
  NPD tax ID

Locations

All disclosed owners & managing parties 23

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Salman Ahmed, MD

  • Pediatrics Physician
  • Ormond Beach, FL
  • NPI 1952357840

  Other

  CMS ownership
• Sma Healthcare Inc

  • Federally Qualified Health Center (FQHC)
  • Bunnell, FL
  • NPI 1215735162

  Operational/Managerial Control, Other

  CMS ownership
• Sma Healthcare Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Daytona Beach, FL
  • NPI 1356329163

  Operational/Managerial Control, Other

  CMS ownership

Practitioners 112

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.

• Jonathan Refran Rabusa, APRN, FNP-C

  • Family Nurse Practitioner
  • Daytona Beach, FL
  • NPI 1073130332
  Care Compare group NPD
• Cheryl Dee Adkinson, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Ocala, FL
  • NPI 1013658137
  NPD
• Jeremiah Alberico

  • Mental Health Counselor
  • Ocala, FL
  • NPI 1598257933
  NPD
• Jacqueline Angela Aliano, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Palatka, FL
  • NPI 1619443454
  NPD
• Ashley Badal, DNP, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Ocala, FL
  • NPI 1093596850
  NPD
• Michelle Baker Rivera, LMFT

  • Marriage & Family Therapist
  • Deland, FL
  • NPI 1801693064
  NPD
• Jeannette Balboni

  • Mental Health Counselor
  • Port Orange, FL
  • NPI 1639676729
  NPD
• Donald James Baracskay II, MD

  • Psychiatry Physician
  • Titusville, FL
  • NPI 1760564207
  NPD
• James Edwin Barrett, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Palatka, FL
  • NPI 1144952466
  NPD
• Whitney Bates, APRN

  • Nurse Practitioner
  • St Augustine, FL
  • NPI 1881302511
  NPD
• Devon Beneby, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bunnell, FL
  • NPI 1932887338
  NPD
• Hassan Ayaz Bokhari, MD

  • Child & Adolescent Psychiatry Physician
  • Largo, FL
  • NPI 1811158082
  NPD

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767830400000",
    "number": "1255950168",
    "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",
            "telephone_number": "386-236-3215",
            "fax_number": "386-236-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 STADIUM ROAD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142810",
            "telephone_number": "800-539-4228",
            "fax_number": "386-236-3178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1220 Willis Ave",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321142810",
            "country_code": "US",
            "telephone_number": "800-539-4228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SMA HEALTHCARE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SMA HEALTHCARE, INC",
        "enumeration_date": "2020-04-10",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "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": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sma Healthcare Inc
• Sma Healthcare Inc
• Sma Healthcare Inc
• Sma Healthcare Inc
• Sma Healthcare Inc
• Chad Smarse, PMHNP-BC
• Sarah Smart
• Christina S Smiley
• Takiara Renee Smith-Williams, LPN
• Anne Elizabeth Smith, ARNP

• Federally Qualified Health Center (FQHC) in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Federally Qualified Health Center (FQHC) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.