GRACEVILLE FAMILY MEDICINE INC
NPI 1154691566
Nurse Practitioner - Family in Graceville, FL

Active since January 03, 2012
5239 BROWN ST, GRACEVILLE, FL 32440(850) 360-4909(850) 360-4911 Get Directions Write a Review

NPPES record last updated: October 14, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Graceville Family Medicine Inc NPPES

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

GRACEVILLE FAMILY MEDICINE INC (NPI 1154691566) is a healthcare organization registered as a family in Graceville, Florida and active in the NPI registry since January 2012. The organization lists Lucinda W Collins, Owner, as its authorized official.

NPPES Registry Identity

NPI1154691566
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameGRACEVILLE FAMILY MEDICINE INC
Location Address5239 BROWN STGraceville, FL 32440-2513
Mailing Address5239 Brown StGraceville, FL 32440-2513 · (850) 360-4909 · Fax (850) 360-4911
Fax(850) 360-4911
Organization SubpartNo
Authorized OfficialLucinda W CollinsOwner · (850) 360-4909
Enumeration DateJanuary 3, 2012
Last NPPES UpdateOctober 14, 2016
✔ NPI 1154691566 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
License✔ Licensed in FL · 9321958
5239 BROWN ST, Graceville, FL 32440

Other Identifiers 8

Medicare PINP00440758AL
Medicare PIN051558624AL
OtherY0042FL · Blue Cross
Medicare UPINS96476AL
OtherY0042VFL · Blue Cross Blue Shield
Medicare PINP00060598AL
Other51051874AL · Bc/bs Of Alabama
Medicaid13075500FL

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

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
5239 BROWN ST
GRACEVILLE, FL 32440

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 Graceville Family Medicine Inc's NPI number?

The NPI number for Graceville Family Medicine Inc is 1154691566. It was assigned to this organization in the NPPES registry on January 3, 2012.

Where is Graceville Family Medicine Inc located?

Graceville Family Medicine Inc is located at 5239 Brown St, Graceville, FL 32440. The listed phone number is (850) 360-4909.

What is Graceville Family Medicine Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Graceville Family Medicine Inc was last updated on October 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.