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

Q: 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.

Q: 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.

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: July 26, 2026.

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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

Phone(850) 675-4546

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

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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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

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.

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Other Providers at the Same Location NPPES 13

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

GREGORY D HEATON OD PA

Optometrist