Organization Active NPI

Advanced Care Cardiology, PA

  • Interventional Cardiology Physician
  • Ormond Beach, FL
National Provider Identifier
1982988978
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
ADVANCED CARE CARDIOLOGY, PA
Practice address
1400 Hand Ave Ste R
Ormond Beach, FL 32174-8196
Phone
(386) 677-7875
Fax
(386) 672-8102
NPI assigned
Oct 8, 2011
Organization subpart
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

Authorized official

Name
Dr. Arthur W Wilkinson III, MDNPI 1396719571
Title
President
Phone
(386) 677-7875

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X Primary

Addresses

Primary practice location

1400 Hand Ave Ste R
Ormond Beach, FL 32174-8196

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
004644300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120126000536 FL Part B Supplier - Clinic/Group Practice 6800063116 Receives reassigned benefits from 2 practitioners
Practice locations: Daytona Beach, FL; Ormond Beach, FL; New Smyrna Beach, FL

National Provider Directory

National Provider Directory

Locations

401 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 424-5000

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

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784851200000",
    "number": "1982988978",
    "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": "386-672-8102"
        },
        {
            "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": "321748196",
            "telephone_number": "386-677-7875",
            "fax_number": "386-672-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CARE CARDIOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-08",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A",
        "authorized_official_last_name": "WILKINSON",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-677-7875",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004644300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.