NPIMap

Individual provider Active NPI

Arthur W Wilkinson III, M.D.

  • Interventional Cardiology Physician
  • Ormond Beach, FL
National Provider Identifier
1396719571
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME79499 Issued in FL
Practice address
1400 Hand Ave Ste R
Ormond Beach, FL 32174
Phone
(386) 677-7875
Fax
(386) 677-5370
NPI assigned
Feb 15, 2006
Last updated
Jul 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME79499 FL
Interventional Cardiology Physician 207RI0011X ME79499 FL Primary

Addresses

Primary practice location

1400 Hand Ave Ste R
Ormond Beach, FL 32174

Mailing address

1400 Hand Ave Ste R
Ormond Beach, FL 32174-8196
Phone (386) 677-7875

Other identifiers 2

IdentifierTypeStateIssuer
261174100MedicaidFL
ME79499OtherFLMEDICAL LICENSE

Other names 1

  • Renny Crossman Former name

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
I20040901001120 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Cardiac SurgeryPractitioner - Nuclear MedicinePractitioner - Infectious Disease 4880669787 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Cardiac Surgery, Infectious Disease, Internal Medicine, Nuclear Medicine
Education
Virginia Commonwealth University, School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Care Cardiology, PAGroup PAC ID 6800063116, 2 clinicians
Florida Hospital Healthcare Partners, IncGroup PAC ID 7012266836, 621 clinicians

Practice addresses (Care Compare)

1400 Hand Ave
Suite R
Ormond Beach, FL 32174-8196
Phone (386) 677-7875

301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Phone (386) 231-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting23
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Halifax Healthcare Systems Inc CurrentSince Jun 1, 2007 Accepting new patients
Southeast Volusia Healthcare Corporation CurrentSince Aug 15, 2018 Accepting new patients
Florida Hospital Healthcare Partners, Inc CurrentSince Dec 1, 2024 Accepting new patients
Upmc Western Maryland Health Services, LLC Cardiovascular Disease Past Accepting new patients
University of Florida Jacksonville Physicians, Inc. PastSince Mar 9, 2012 Accepting new patients
Mayo Clinic Health System in Waycross, Inc. Past Accepting new patients
Advanced Heart Group PL Cardiovascular Disease PastSince Nov 17, 2008 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Past Accepting new patients

Locations

301 Memorial Medical Pkwy
Daytona Beach, FL 32117
Phone (386) 231-3906

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

311 N Clyde Morris Blvd
Ste 320
Daytona Beach, FL 32114
Phone (386) 255-5331

508 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 270-0659

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

Use Ci1660
Orlando, FL 32886

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

61 Memorial Medical Pkwy
Ste 1-800A
Palm Coast, FL 32164
Phone (386) 586-1810

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: arthur.crossman@3323.securemail.prognocis.com

Organizations & group practices 9

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 7

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1396719571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 HAND AVE STE R",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748196",
            "telephone_number": "386-677-7875",
            "fax_number": "386-677-5370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 HAND AVE STE R",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "32174",
            "telephone_number": "386-677-7875",
            "fax_number": "386-677-5370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "ARTHUR",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME79499",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME79499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261174100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME79499",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENNY",
            "last_name": "CROSSMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ormond Beach, FL

Sources for this page

Verify at the official NPI Registry.