INTERNAL MEDICINE ASSOCIATES OF JACKSON HOSPITAL
NPI 1083035232
Clinic/Center - Rural Health in Marianna, FL

Active since December 13, 2013CLIA 10D0693029 · Microscopy
4318 5TH AVE, MARIANNA, FL 32446(850) 526-5300(850) 428-5021 Get Directions Write a Review

NPPES record last updated: August 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 23, 2021, Jul 29, 2021 (2 updates tracked since 2021).

About Internal Medicine Associates Of Jackson Hospital NPPES

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

INTERNAL MEDICINE ASSOCIATES OF JACKSON HOSPITAL (NPI 1083035232) is a healthcare organization registered as a rural health in Marianna, Florida and active in the NPI registry since December 2013. The organization holds a CLIA Microscopy certificate valid through March 13, 2028 and lists Kelly Connolly, Cfo, as its authorized official.

NPPES Registry Identity

NPI1083035232
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameJACKSON COUNTY HOSPITAL DISTRICT
Location Address4318 5TH AVEMarianna, FL 32446-2182
Mailing Address4250 Hospital DrMarianna, FL 32446-1917 · (850) 526-2200 · Fax (850) 718-2844
Fax(850) 428-5021
Organization SubpartYes
Authorized OfficialKelly ConnollyCfo · (850) 718-2623
Enumeration DateDecember 13, 2013
Last NPPES UpdateAugust 23, 20212 updates tracked since enumeration
NPPES CertifiedJuly 29, 2021
NPI 1083035232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
4318 5TH AVE, Marianna, FL 32446

Other Names 1

Doing Business AsInternal Medicine Associates Of Jackson Hospital

Other Identifiers 2

OtherW42FL · Bcbs
Medicaid660233900FL

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 for Provider-Performed Microscopy Procedures (PPMP) 10D0693029

Internal Medicine Associates Of Jackson Hospital · Marianna, FL
Active · expires Mar 13, 2028
CLIA Number10D0693029
Laboratory TypePhysician Office
Certificate Effective DateMarch 14, 2026
Certificate Expiration DateMarch 13, 2028
Laboratory DirectorSteven W. Spence
Laboratory Phone(850) 526-5300
Laboratory LocationInternal Medicine Associates Of Jackson Hospital4318 5th Ave, Marianna, FL 32446
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 11

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

Nurse Practitioner (Family)
4318 5TH AVE
MARIANNA, FL 32446
Internal Medicine
4318 5TH AVE
MARIANNA, FL 32446
Clinic/Center (Ambulatory Surgical)
4318 5TH AVE
MARIANNA, FL 32446
Clinic/Center (Rural Health)
4318 5TH AVE
MARIANNA, FL 32446
Internal Medicine
4318 5TH AVE
MARIANNA, FL 32446
Clinic/Center (Rural Health)
4318 5TH AVE
MARIANNA, FL 32446
Internal Medicine
4318 5TH AVE
MARIANNA, FL 32446
Nurse Practitioner (Family)
4318 5TH AVE
MARIANNA, FL 32446

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 Jackson County Hospital District's NPI number?

The NPI number for Jackson County Hospital District is 1083035232. It was assigned to this organization in the NPPES registry on December 13, 2013. The provider is doing business as Internal Medicine Associates Of Jackson Hospital.

Where is Jackson County Hospital District located?

Jackson County Hospital District is located at 4318 5th Ave, Marianna, FL 32446. The listed phone number is (850) 526-5300.

What is Jackson County Hospital District's specialty?

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

Does Jackson County Hospital District hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 10D0693029) is associated with this NPI, valid through March 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jackson County Hospital District was last updated on August 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.