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SOUTHERN FAMILY HEALTHCARE, P.A.
NPI 1154533677
Clinic/Center in Chipley, FL

Active since May 04, 2007CLIA 10D1001653 · Microscopy
1376 BRICKYARD RD, SUITE 5, CHIPLEY, FL 32428(850) 638-4383(850) 638-4195 Get Directions Write a Review

NPPES record last updated: October 18, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Southern Family Healthcare, P.a. NPPES

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

SOUTHERN FAMILY HEALTHCARE, P.A. (NPI 1154533677) is a healthcare organization registered as a clinic/center in Chipley, Florida and active in the NPI registry since May 2007. The organization holds a CLIA Microscopy certificate valid through July 16, 2028, maintains a secondary practice location in Chipley, and lists William Mark Garney, President, as its authorized official.

NPPES Registry Identity

NPI1154533677
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSOUTHERN FAMILY HEALTHCARE, P.A.
Location Address1376 BRICKYARD RD, SUITE 5Chipley, FL 32428-6303
Mailing Address877 3rd St Ste 4Chipley, FL 32428-1855 · (850) 638-4383 · Fax (850) 415-6783
Phone(850) 638-4383
Fax(850) 638-4195
Organization SubpartNo
Authorized OfficialWilliam Mark GarneyPresident · (850) 638-5512
Enumeration DateMay 4, 2007
Last NPPES UpdateOctober 18, 2017
✔ NPI 1154533677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
1376 BRICKYARD RD, Chipley, FL 32428
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Secondary Practice Location 1

Location 11376 Brickyard Rd, Suite 5Chipley, FL 32428-6303 · Phone (850) 638-4383 · Fax (850) 638-4195

Other Identifiers 3

Medicare UPINS65695FL
Medicaid660167700FL
Medicare OSCAR/certification108947FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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)

Southern Family Healthcare, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Southern Family Healthcare, P.A., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

William Garney, ARNP-C
Nurse Practitioner
NPI 1043230535
1376 BRICKYARD RD SUITE 5
Chipley, FL 32428
(850) 638-4383
✔ PECOS✔ Accepts MedicareSame address
Annette Porter, M.D.
Emergency Medicine
NPI 1184647810
1376 BRICKYARD RD SUITE 4
Chipley, FL 32428
(850) 415-6781
✔ 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 for Provider-Performed Microscopy Procedures (PPMP) 10D1001653

Southern Family Healthcare PA · Chipley, FL
Active · expires Jul 16, 2028
CLIA Number10D1001653
Laboratory TypeRural Health Clinic
Certificate Effective DateJuly 17, 2026
Certificate Expiration DateJuly 16, 2028
Laboratory DirectorAnnette G. Porter
Laboratory Phone(850) 638-4383
Laboratory LocationSouthern Family Healthcare PA877 3rd St Ste 4, Chipley, FL 32428
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.

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 Southern Family Healthcare, P.A.'s NPI number?

The NPI number for Southern Family Healthcare, P.A. is 1154533677. It was assigned to this organization in the NPPES registry on May 4, 2007.

Where is Southern Family Healthcare, P.A. located?

Southern Family Healthcare, P.A. is located at 1376 Brickyard Rd Suite 5, Chipley, FL 32428. The listed phone number is (850) 638-4383.

What is Southern Family Healthcare, P.A.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Southern Family Healthcare, P.A. enrolled in Medicare?

Yes. Southern Family Healthcare, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Family Healthcare, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Southern Family Healthcare, P.A., in Emergency Medicine and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Southern Family Healthcare, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 10D1001653) is associated with this NPI, valid through July 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southern Family Healthcare, P.A. accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Southern Family Healthcare, P.A. 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 Southern Family Healthcare, P.A. was last updated on October 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.