JESSIE TRICE COMMUNITY HEALTH SYSTEM INC
NPI 1023486735
Clinic/Center - Federally Qualified Health Center (FQHC) in Miami Gardens, FL
About Jessie Trice Community Health System Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSIE TRICE COMMUNITY HEALTH SYSTEM INC (NPI 1023486735), doing business as Jessie Trice Community Health Center Inc, is a healthcare organization registered as a federally qualified health center (fqhc) in Miami Gardens, Florida and active in the NPI registry since September 2015. The organization holds a CLIA Waiver certificate valid through November 30, 2027 and lists Ryan R Hawkins, President/ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jessie Trice Community Health System Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
60Medicare enrollment records show 60 clinicians reassign Medicare billing to Jessie Trice Community Health System Inc, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 48 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 12
Nearest to this location (20)
See all 60Source: 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
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 10D0954199
Jessie Trice Community Health System, Inc · Miami, 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 Jessie Trice Community Health System Inc's NPI number?
The NPI number for Jessie Trice Community Health System Inc is 1023486735. It was assigned to this organization in the NPPES registry on September 11, 2015. The provider was formerly known as Jessie Trice Community Health Center Inc.
Where is Jessie Trice Community Health System Inc located?
Jessie Trice Community Health System Inc is located at 20612 NW 27th Ave, Miami Gardens, FL 33056. The listed phone number is (305) 637-6400.
What is Jessie Trice Community Health System Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Jessie Trice Community Health System Inc enrolled in Medicare?
Yes. Jessie Trice Community Health System Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jessie Trice Community Health System Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 60 clinicians in 12 Medicare specialties reassign their Medicare billing to Jessie Trice Community Health System Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (20), Dentist (10) and Family Practice (7). Of these, 5 practice at this address and 48 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Jessie Trice Community Health System Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D0954199) is associated with this NPI, valid through November 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Jessie Trice Community Health System Inc accept?
Health plans from AvMed, Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Jessie Trice Community Health System Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jessie Trice Community Health System Inc was last updated on November 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.
# Jessie Trice Community Health System Inc · NPI 1023486735
Federally Qualified Health Center (FQHC) organization in Miami Gardens, Florida. Organization record, active in the CMS NPPES registry since September 11, 2015.
## Identity
- **NPI:** 1023486735 (Entity type: Organization)
- **Enumerated:** September 11, 2015
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Ryan Hawkins, PRESIDENT/CEO
## Practice location
- **Address:** 20612 NW 27TH AVE, Miami Gardens, FL 33056-1469
- **Phone:** (305) 637-6400 · **Fax:** (305) 636-5155
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 60 clinicians in 12 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (20), Dentist (10), Family Practice (7); 5 practice at this address and 48 within 10 miles; [full list](https://npiprofile.com/npi/1023486735/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 26, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1023486735) · Data from the CMS NPPES public registry.