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Concierge Physician Services

Concierge Physician Services is a healthcare organization registered as Primary Care Clinic/Center in Daytona Beach, FL, holding Type 2 (organization) NPI 1558239160 since 2025. The authorized official on file is Theodore Haskin, Pysician.

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NPI 1558239160
Entity type Organization (Type 2)
Legal business name Concierge Physician Services
Practice address 569 HEALTH BLVD STE A, Daytona Beach, FL, 32114
Phone 3862002056
Fax 3862751776
Enumeration date 2025-10-27
Last updated in NPPES 2025-10-27

Authorized official

Name Theodore Haskin
Title Pysician
Phone 4173509556

Taxonomy & classification

Taxonomy code Specialty Primary License State
261QP2300X Primary Care Clinic/Center Primary
Copy-ready billing details
Provider: Concierge Physician Services
NPI: 1558239160
Taxonomy: 261QP2300X (Primary Care Clinic/Center)
Address: 569 HEALTH BLVD STE A, Daytona Beach, FL, 32114

Providers at this address

NPI Name Type Specialty Location
1225482367 Ashley Rickels Individual Speech-Language Pathologist Daytona Beach, FL
1700230554 Theodore (Ted) Haskin Individual Family Medicine Physician Daytona Beach, FL
1730878398 Darieon Leone Individual Occupational Therapy Assistant Daytona Beach, FL
1932952256 Madeline Bearden Individual Speech-Language Assistant Daytona Beach, FL

Verify this record

Cross-check NPI 1558239160 against the authoritative CMS record: view Concierge Physician Services on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Concierge Physician Services?
Concierge Physician Services is registered in NPPES as a Primary Care Clinic/Center (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-10-27.