Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

COLLINWOOD FAMILY CARE, LLC
NPI 1023626124
Clinic/Center - Rural Health in Collinwood, TN

Q: What is Collinwood Family Care, LLC's NPI number?

The NPI number for Collinwood Family Care, LLC is 1023626124. It was assigned to this organization in the NPPES registry on July 15, 2020.

Q: What is Collinwood Family Care, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since July 15, 2020CLIA 44D2190684 · Waiver

105 3RD AVE N, COLLINWOOD, TN 38450(931) 724-4628(931) 724-4705 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 30, 2026, Oct 11, 2024, Apr 9, 2024 and 1 more (4 updates tracked since 2020).

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About Collinwood Family Care, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLLINWOOD FAMILY CARE, LLC (NPI 1023626124) is a healthcare organization registered as a rural health in Collinwood, Tennessee and active in the NPI registry since July 2020. The organization holds a CLIA Waiver certificate valid through August 17, 2028 and lists Daysha A Brantley, Nurse Practitioner / Owner, as its authorized official.

NPPES Registry Identity

NPI1023626124

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameCOLLINWOOD FAMILY CARE, LLC

Location Address105 3RD AVE NCollinwood, TN 38450-4696

Mailing Address105 3rd Ave NCollinwood, TN 38450-4696 · (931) 724-4628 · Fax (931) 724-4705

Phone(931) 724-4628

Fax(931) 724-4705

Organization SubpartNo

Authorized OfficialDaysha A BrantleyNurse Practitioner / Owner · (931) 724-4628

Enumeration DateJuly 15, 2020

Last NPPES UpdateSeptember 30, 20264 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2026

✔ NPI 1023626124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

105 3RD AVE N, Collinwood, TN 38450

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Other Identifiers 2

MedicaidQ004852TN

MedicaidQ060911TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

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 44D2190684

Collinwood Family Care LLC · Collinwood, TN

Active · expires Aug 17, 2028

CLIA Number44D2190684

Laboratory TypePractitioner Other

Certificate Effective DateAugust 18, 2026

Certificate Expiration DateAugust 17, 2028

Laboratory DirectorDaysha A. Brantley

Laboratory Phone(931) 724-4628

Laboratory LocationCollinwood Family Care LLC105 3rd Ave N, Collinwood, TN 38450

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DAYSHA A BRANTLEY MSN, FNP-C

Nurse Practitioner (Family)

105 3RD AVE N
COLLINWOOD, TN 38450

Wayne County (931) 724-4628

Frequently 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 Collinwood Family Care, LLC's NPI number?

The NPI number for Collinwood Family Care, LLC is 1023626124. It was assigned to this organization in the NPPES registry on July 15, 2020.

Where is Collinwood Family Care, LLC located?

Collinwood Family Care, LLC is located at 105 3rd Ave N, Collinwood, TN 38450. The listed phone number is (931) 724-4628.

What is Collinwood Family Care, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Collinwood Family Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2190684) is associated with this NPI, valid through August 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Collinwood Family Care, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Collinwood Family Care, LLC 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 Collinwood Family Care, LLC was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.