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COLLIER FAMILY MEDICAL, PLLC
NPI 1104587609
Nurse Practitioner - Family in Lincolnton, NC

Active since January 06, 2022CLIA 34D2244172 · Waiver
1220 N FLINT. ST., LINCOLNTON, NC 28092(704) 240-5260(704) 703-6607 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Collier Family Medical, Pllc NPPES

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

COLLIER FAMILY MEDICAL, PLLC (NPI 1104587609) is a healthcare organization registered as a family in Lincolnton, North Carolina and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through November 29, 2027 and lists Amanda Kay Collier, Fnp/owner, as its authorized official.

NPPES Registry Identity

NPI1104587609
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCOLLIER FAMILY MEDICAL, PLLC
Location Address1220 N FLINT. ST.Lincolnton, NC 28092
Mailing Address1220 N Flint. St.Lincolnton, NC 28092 · (704) 240-5260 · Fax (704) 703-6607
Phone(704) 240-5260
Fax(704) 703-6607
Organization SubpartNo
Authorized OfficialAmanda Kay CollierFnp/owner · (704) 240-5260
Enumeration DateJanuary 6, 2022
NPPES CertifiedJanuary 6, 2022
✔ NPI 1104587609 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
1220 N FLINT. ST., Lincolnton, NC 28092
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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

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 34D2244172

Collier Family Medical · Lincolnton, NC
Active · expires Nov 29, 2027
CLIA Number34D2244172
Laboratory TypeRural Health Clinic
Certificate Effective DateNovember 30, 2025
Certificate Expiration DateNovember 29, 2027
Laboratory DirectorAmanda K. Collier
Laboratory Phone(812) 606-9728
Laboratory LocationCollier Family Medical1814 N Aspen St, Lincolnton, NC 28092
CLIA data matches this NPI record on: Name
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 Collier Family Medical, PLLC's NPI number?

The NPI number for Collier Family Medical, PLLC is 1104587609. It was assigned to this organization in the NPPES registry on January 6, 2022.

Where is Collier Family Medical, PLLC located?

Collier Family Medical, PLLC is located at 1220 N Flint. St., Lincolnton, NC 28092. The listed phone number is (704) 240-5260.

What is Collier Family Medical, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Collier Family Medical, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2244172) is associated with this NPI, valid through November 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Collier Family Medical, PLLC was last updated on January 6, 2022. 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.