WAY MEDICAL GROUP NPI 1386365476

NPI Information

  • NPI: 1386365476
  • Provider Name: WAY MEDICAL GROUP
  • Classification: Family Medicine - 207QA0505X
  • Specialization: Adult Medicine
  • Entity Type: Organization
  • Doing Business As: THE WAY MEDICAL GROUP LLC
  • Address: 4780 DAIRY RD
    MELBOURNE, FL
    ZIP 32904
  • Phone: (321) 989-2187

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NPI Details

WAY MEDICAL GROUP is an adult medicine family medicine in Melbourne, FL. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. WAY MEDICAL GROUP NPI is 1386365476. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As The Way Medical Group Llc.

The provider's business location address is:

4780 DAIRY RD
MELBOURNE, FL
ZIP 32904-482
Phone: (321) 989-2187

The provider's authorized official is Jay Bouldin .
The authorized official title is Ceo and has the following contact phone number (321) 989-2187.

The enumeration date for this NPI number is 9/7/2022 and was last updated on 7/26/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeNo
2246Z00000XSpecialist/Technologist, OtherNo
3251J00000XNursing CareNo
4261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
5261QR1100XClinic/CenterResearchNo
6363LA2200XNurse PractitionerAdult HealthNo
7363LF0000XNurse PractitionerFamilyNo
8363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
9363LP2300XNurse PractitionerPrimary CareNo
10207QA0505XFamily MedicineAdult MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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