NORTHEAST FLORIDA STATE HOSPITAL
NPI 1013931765
Psychiatric Hospital in Macclenny, FL
About Northeast Florida State Hospital NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHEAST FLORIDA STATE HOSPITAL (NPI 1013931765) is a healthcare organization registered as a psychiatric hospital in Macclenny, Florida and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates and lists Linda G. Williams, Hospital Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Northeast Florida State Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
87Medicare enrollment records show 87 clinicians reassign Medicare billing to Northeast Florida State Hospital, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 6 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D0878714
Northeast Florida State Hosp-Nursing · Macclenny, FLCertificate of Compliance 10D0267077
Northeast Florida State Hospital · Macclenny, FLHospital Quality Ratings CMS Care Compare
Quality and patient-experience ratings for Northeast Florida State Hospital (CMS certification number 104007), from CMS Care Compare.
Northeast Florida State Hospital
Psychiatric · Macclenny, FLFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Florida Department Of Children And Families's NPI number?
The NPI number for Florida Department Of Children And Families is 1013931765. It was assigned to this organization in the NPPES registry on July 26, 2006. The provider is doing business as Northeast Florida State Hospital.
Where is Florida Department Of Children And Families located?
Florida Department Of Children And Families is located at 7487 S State Road 121 Accounting Department, Macclenny, FL 32063. The listed phone number is (904) 259-6211.
What is Florida Department Of Children And Families's specialty?
The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.
Is Florida Department Of Children And Families enrolled in Medicare?
Yes. Florida Department Of Children And Families is registered in the Medicare PECOS enrollment system.
Does Florida Department Of Children And Families hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
Is Florida Department Of Children And Families a Medicare-certified hospital?
Yes. Northeast Florida State Hospital is a Medicare-certified hospital (Psychiatric).
When was this NPI record last updated?
The NPPES record for Florida Department Of Children And Families was last updated on November 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Northeast Florida State Hospital · NPI 1013931765
Psychiatric Hospital organization in Macclenny, Florida. Organization record, active in the CMS NPPES registry since July 26, 2006.
## Identity
- **NPI:** 1013931765 (Entity type: Organization)
- **Enumerated:** July 26, 2006
- **Primary specialty:** Psychiatric Hospital · taxonomy 283Q00000X
- **Legal business name:** Florida Department Of Children And Families
- **Organization subpart:** No
- **Authorized official:** Linda Williams, HOSPITAL ADMINISTRATOR
## Practice location
- **Address:** 7487 S STATE ROAD 121, ACCOUNTING DEPARTMENT, Macclenny, FL 32063-5451
- **Phone:** (904) 259-6211 · **Fax:** (904) 259-7154
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
## Record status
- **NPPES last updated:** November 18, 2020
- **Other identifiers:** Medicaid 026002900 (FL)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1013931765) · Data from the CMS NPPES public registry.