PHOENIX FAMILY HEALTH CARE CENTER
NPI 1063798478
Family Medicine in Carrabelle, FL

Active since October 30, 2011CLIA 10D2076591 · Waiver
1581 HIGHWAY 98 W, CARRABELLE, FL 32322(850) 697-3420(850) 697-3423 Get Directions Write a Review

NPPES record last updated: October 2, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Phoenix Family Health Care Center NPPES

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

PHOENIX FAMILY HEALTH CARE CENTER (NPI 1063798478) is a healthcare organization registered as a family medicine in Carrabelle, Florida and active in the NPI registry since October 2011. The organization holds a CLIA Waiver certificate valid through April 22, 2028 and lists Lois Marie Mendez Catlin, Vp Business Manager, as its authorized official.

NPPES Registry Identity

NPI1063798478
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePHOENIX FAMILY HEALTH CARE CENTER
Location Address1581 HIGHWAY 98 WCarrabelle, FL 32322-5009
Mailing Address1581 Highway 98 WCarrabelle, FL 32322-5009 · (850) 697-3420 · Fax (850) 697-3423
Fax(850) 697-3423
Organization SubpartNo
Authorized OfficialLois Marie Mendez CatlinVp Business Manager · (850) 697-3420
Enumeration DateOctober 30, 2011
Last NPPES UpdateOctober 2, 2012
✔ NPI 1063798478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ACN212
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1581 HIGHWAY 98 W, Carrabelle, FL 32322

Other Identifiers 4

Medicare PINU8416WFL
Medicaid275192500FL
Medicare UPIN163492FL
Medicare PINFR879AFL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

Phoenix Family Health Care Center 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 Phoenix Family Health Care Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1669491536
1581 HIGHWAY 98 W
Carrabelle, FL 32323
(850) 697-3420
✔ 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.

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 10D2076591

Phoenix Family Health Care Center Inc · Eastpoint, FL
Active · expires Apr 22, 2028
CLIA Number10D2076591
Laboratory TypeRural Health Clinic
Certificate Effective DateApril 23, 2026
Certificate Expiration DateApril 22, 2028
Laboratory DirectorLionel B. Catlin
Laboratory Phone(850) 697-3420
Laboratory LocationPhoenix Family Health Care Center Inc35 Island Drive Suite 5, Eastpoint, FL 32328
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Phoenix Family Health Care Center's NPI number?

The NPI number for Phoenix Family Health Care Center is 1063798478. It was assigned to this organization in the NPPES registry on October 30, 2011.

Where is Phoenix Family Health Care Center located?

Phoenix Family Health Care Center is located at 1581 Highway 98 W, Carrabelle, FL 32322. The listed phone number is (850) 697-3420.

What is Phoenix Family Health Care Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Phoenix Family Health Care Center enrolled in Medicare?

Yes. Phoenix Family Health Care Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Phoenix Family Health Care Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Phoenix Family Health Care Center. 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.

Does Phoenix Family Health Care Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2076591) is associated with this NPI, valid through April 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Phoenix Family Health Care Center accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Phoenix Family Health Care Center 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 Phoenix Family Health Care Center was last updated on October 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.