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COLLINWOOD FAMILY CARE, LLC
NPI 1023626124
Nurse Practitioner - Family 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: October 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 11, 2024, Apr 9, 2024, Jul 15, 2020 (3 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 family 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 Taxonomy363LF0000X
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 UpdateOctober 11, 20243 updates tracked since enumeration
NPPES CertifiedOctober 11, 2024
✔ NPI 1023626124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
105 3RD AVE N, Collinwood, TN 38450
Open in Google Maps ↗

Other Identifiers 2

MedicaidQ004852TN
MedicaidQ060911TN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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
Expired · Aug 17, 2026
CLIA Number44D2190684
Laboratory TypePractitioner Other
Certificate Effective DateAugust 18, 2024
Certificate Expiration DateAugust 17, 2026
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 Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

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 October 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.