JAY MEDICAL CLINIC
NPI 1255398228
Clinic/Center - Rural Health in Jay, FL

Active since April 26, 2006CLIA 10D0884275 · Waiver
14088 ALABAMA ST, JAY, FL 32565(850) 675-4546(850) 675-4548 Get Directions Write a Review

NPPES record last updated: July 5, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jay Medical Clinic NPPES

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

JAY MEDICAL CLINIC (NPI 1255398228) is a healthcare organization registered as a rural health in Jay, Florida and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through July 29, 2027 and lists Cleatious David Smith, Owner Supervising Physician, as its authorized official.

NPPES Registry Identity

NPI1255398228
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePANHANDLE RURAL HEALTH INCORPORATED
Location Address14088 ALABAMA STJay, FL 32565-1036
Mailing AddressPo Box 10Jay, FL 32565-0010 · (850) 675-4546 · Fax (850) 675-4548
Fax(850) 675-4548
Organization SubpartNo
Authorized OfficialCleatious David SmithOwner Supervising Physician · (850) 675-4546
Enumeration DateApril 26, 2006
Last NPPES UpdateJuly 5, 2012
✔ NPI 1255398228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
14088 ALABAMA ST, Jay, FL 32565

Other Names 1

Doing Business AsJay Medical Clinic

Other Identifiers 4

Other21333FL · Bcbs Of Florida Group Number
Medicaid660022100FL
Medicare ID-Type Unspecified103858FL · Clinic Group Number
Medicaid660022102FL

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)

Jay Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Jay Medical Clinic, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Internal Medicine
NPI 1659334126
14088 ALABAMA STREET
Jay, FL 32565
(850) 675-4546
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1871546515
14088 ALABAMA ST
Jay, FL 32565
(850) 675-4546
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1497710313
14088 ALABAMA ST
Jay, FL 32565
(850) 675-4546
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1477559409
3887 SCOTTS PLAZA DR
Jay, FL 32565
(850) 981-0320
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1255708459
6341 HIGHWAY 90
Milton, FL 32570
(850) 981-0320
✔ PECOS24 mi
Family Practice
NPI 1881191708
206 2ND ST E
Bradenton, FL 34208
(941) 745-7286
✔ PECOS✔ Accepts Medicare365 mi

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 10D0884275

Jay Medical Clinic · Jay, FL
Active · expires Jul 29, 2027
CLIA Number10D0884275
Laboratory TypeOther
Certificate Effective DateJuly 30, 2025
Certificate Expiration DateJuly 29, 2027
Laboratory DirectorCleatious D. Smith
Laboratory Phone(850) 675-4546
Laboratory LocationJay Medical Clinic14088 Alabama Street, Jay, FL 32565
CLIA data matches this NPI record on: Address Name Phone
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 Panhandle Rural Health Incorporated's NPI number?

The NPI number for Panhandle Rural Health Incorporated is 1255398228. It was assigned to this organization in the NPPES registry on April 26, 2006. The provider is doing business as Jay Medical Clinic.

Where is Panhandle Rural Health Incorporated located?

Panhandle Rural Health Incorporated is located at 14088 Alabama St, Jay, FL 32565. The listed phone number is (850) 675-4546.

What is Panhandle Rural Health Incorporated's specialty?

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

Is Panhandle Rural Health Incorporated enrolled in Medicare?

Yes. Panhandle Rural Health Incorporated is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Panhandle Rural Health Incorporated?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Panhandle Rural Health Incorporated. 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. The largest specialties are Family Practice (4), Internal Medicine (1) and Nurse Practitioner (1). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Panhandle Rural Health Incorporated hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0884275) is associated with this NPI, valid through July 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Panhandle Rural Health Incorporated accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Panhandle Rural Health Incorporated 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 Panhandle Rural Health Incorporated was last updated on July 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.