MY FAMILY DOCTOR, PA
NPI 1184115263
General Practice in Miami, FL
About My Family Doctor, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MY FAMILY DOCTOR, PA (NPI 1184115263) is a healthcare organization registered as a general practice in Miami, Florida and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through December 22, 2027 and lists Arnika Renee Jackson, President/office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
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)
My Family Doctor, Pa 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 My Family Doctor, PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 10D2176718
My Family Doctor, PA · Miami, FLFrequently 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 My Family Doctor, PA's NPI number?
The NPI number for My Family Doctor, PA is 1184115263. It was assigned to this organization in the NPPES registry on May 23, 2018.
Where is My Family Doctor, PA located?
My Family Doctor, PA is located at 111 NW 183rd St Ste 306, Miami, FL 33169. The listed phone number is (305) 705-6688.
What is My Family Doctor, PA's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is My Family Doctor, PA enrolled in Medicare?
Yes. My Family Doctor, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through My Family Doctor, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to My Family Doctor, PA. 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 My Family Doctor, PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2176718) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does My Family Doctor, PA accept?
Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list My Family Doctor, PA 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 My Family Doctor, PA was last updated on May 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# My Family Doctor, Pa · NPI 1184115263
General Practice organization in Miami, Florida. Organization record, active in the CMS NPPES registry since May 23, 2018.
## Identity
- **NPI:** 1184115263 (Entity type: Organization)
- **Enumerated:** May 23, 2018
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Arnika Jackson, PRESIDENT/OFFICE MANAGER
## Practice location
- **Address:** 111 NW 183RD ST STE 306, Miami, FL 33169-4599
- **Phone:** (305) 705-6688
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (General Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 23, 2018
- **Other identifiers:** Medicaid 1184607541 (FL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1184115263) · Data from the CMS NPPES public registry.