MEDICARE: SMA HEALTHCARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251S00000X	Community/Behavioral Health Agency
2	261QF0400X	Federally Qualified Health Center (FQHC)
3	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1902769714
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMA HEALTHCARE INC

Provider Business Mailing Address
First Line	:	150 MAGNOLIA AVE
Second Line	:
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32114-4304
Country	:	US
Telephone Number	:	800-539-4228
Fax Number	:

Provider Business Practice Location Address
First Line	:	1255 N STONE STREET
Second Line	:
City	:	DELAND
State	:	FL
Zip	:	32720
Country	:	US
Telephone Number	:	800-539-4228
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF REVENUE CYCLE
Name	:	JENNIFER MARIE UPCHURCH
Credential	:
Telephone Number	:	386-793-6911

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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Directions to “SMA HEALTHCARE INC ” Practice Location

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