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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

Active since July 15, 2020
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: November 01, 2026.

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

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 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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Collinwood Family Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Collinwood Family Care, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Daysha Brantley, MSN, FNP-C
Nurse Practitioner
NPI 1609978048
105 3RD AVE N
Collinwood, TN 38450
(931) 724-4628
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Collinwood Family Care, LLC enrolled in Medicare?

Yes. Collinwood Family Care, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Collinwood Family Care, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Collinwood Family Care, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 38 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.