NPIMap

Individual provider Active NPI

Samuel M Edwards, M. D.

  • Specialist
  • Deland, FL
National Provider Identifier
1386706000
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0066309 Issued in FL
Practice address
750 W Plymouth Ave
Deland, FL 32720-3282
Phone
(386) 736-7244
Fax
(386) 736-8538
NPI assigned
Dec 16, 2006
Last updated
Aug 2, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0066309 FL Primary

Addresses

Primary practice location

750 W Plymouth Ave
Deland, FL 32720-3282

Mailing address

750 W Plymouth Ave
Deland, FL 32720-3282
Phone (386) 736-7244

Other identifiers 1

IdentifierTypeStateIssuer
272821400MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120109000811 FL Practitioner - Internal Medicine 1951577253 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Healthcare Partners, IncGroup PAC ID 7012266836, 621 clinicians

Practice addresses (Care Compare)

1055 Saxon Blvd
Orange City, FL 32763-8468
Phone (386) 917-5000

1401 S Seminole Blvd
Sanford, FL 32771-6743
Phone (407) 321-4500

3030 W Bearss Ave
Tampa, FL 33618-1811
Phone (813) 968-8777

701 W Plymouth Ave
Deland, FL 32720-3236
Phone (386) 943-4522

750 W Plymouth Ave
Deland, FL 32720-3236
Phone (386) 736-7244

750 W Plymouth Ave
Deland, FL 32720-3282

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0066309FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Samuel M Edwards M D P a CurrentSince May 31, 1994 Accepting new patients
Inpatient Consultants of Florida, Inc Current Accepting new patients
Inpatient Consultants of Florida Inc CurrentSince Feb 1, 2022 Accepting new patients
Southwest Volusia Healthcare Corporation CurrentSince Jan 10, 1996 Accepting new patients
Memorial Hospital-West Volusia Inc CurrentSince Sep 1, 1994 Accepting new patients
Memorial Hospital-West Volusia Inc CurrentSince Sep 1, 1994 Accepting new patients
Florida Hospital Healthcare Partners, Inc CurrentSince Dec 1, 2024 Accepting new patients
Inpatient Consultants of Florida, Inc CurrentSince Feb 1, 2022 Accepting new patients
Southwest Volusia Healthcare Corporation CurrentSince Jan 10, 1996 Accepting new patients
Southwest Volusia Healthcare Corporation Past Accepting new patients
Jose J Rosales MD PA Past Accepting new patients

Locations

701 W Plymouth Ave
Deland, FL 32720
Phone (386) 943-3160

750 W Plymouth Ave
Deland, FL 32720
Phone (386) 736-7244

1035 Town Center Dr
Orange City, FL 32763
Phone (386) 775-8229

1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Adventhealth Fish MemorialOrange City, FL, CCN 100072 Hospital Corporate Director Dec 12, 2024
Deland Senior Care, LLCDeland, FL, CCN 105349 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 17, 2021
Jul 29, 2025

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1166227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312243200000",
    "number": "1386706000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 W PLYMOUTH AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327203282",
            "telephone_number": "386-736-7244",
            "fax_number": "386-736-8538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 W PLYMOUTH AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327203282",
            "telephone_number": "386-736-7244",
            "fax_number": "386-736-8538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "SAMUEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-16",
        "last_updated": "2011-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0066309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272821400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

Verify at the official NPI Registry.