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MARIANNA VA CBOC
NPI 1255506911
Clinic/Center - VA in Marianna, FL

Active since April 24, 2008
4970 HIGHWAY 90, MARIANNA, FL 32446(888) 263-1889 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marianna Va Cboc NPPES

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

MARIANNA VA CBOC (NPI 1255506911) is a healthcare organization registered as a va in Marianna, Florida and active in the NPI registry since April 2008. The organization lists Erin Potter, Npi Team Member, as its authorized official.

NPPES Registry Identity

NPI1255506911
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameGAINESVILLE VAMC
Location Address4970 HIGHWAY 90Marianna, FL 32446-6802
Mailing AddressPo Box 94468Cleveland, OH 44101-4468 · (866) 793-4591
Phone(888) 263-1889
Organization SubpartNo
Authorized OfficialErin PotterNpi Team Member · (202) 382-2579
Enumeration DateApril 24, 2008
Last NPPES UpdateMarch 28, 2023
NPPES CertifiedMarch 28, 2023
✔ NPI 1255506911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
4970 HIGHWAY 90, Marianna, FL 32446
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Other Names 1

Other NameMarianna Va Cboc

Other Providers at the Same Location NPPES 12

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

VIGIE AMBAY STEPHENS
Physical Therapist
4970 HIGHWAY 90
MARIANNA, FL 32446
Jackson County (850) 718-5620
MR. MATTHEW EDWARD LANKIST ARNP
Nurse Practitioner
4970 HIGHWAY 90
MARIANNA, FL 32446
Jackson County (850) 718-5620
DR. CARLA WELLS BARBER PHARM.D.
Pharmacist
4970 HIGHWAY 90, DEPARTMENT OF VETERANS AFFAIRS
MARIANNA, FL 32446
Jackson County (850) 718-5620
DR. MARY MONICA WATKINS-CLAY PH.D.
Psychologist (Clinical)
4970 HIGHWAY 90
MARIANNA, FL 32446
Jackson County (850) 718-5620
MECHELLE L MOODY MD
Internal Medicine
4970 HIGHWAY 90
MARIANNA, FL 32446
Jackson County (850) 718-5620
MR. CHRISTOPHER MICHAEL BOLEN D.P.T.
Physical Therapist
4970 HIGHWAY 90
MARIANNA, FL 32446
Jackson County (850) 718-5620
SHYLA DENEAN NEHER LCSW
Social Worker (Clinical)
4970 HIGHWAY 90
MARIANNA, FL 32446
Jackson County (850) 718-5620
DR. WESLEY HENDRICK MCCORMICK PH.D., M.DIV.
Psychologist
4970 HIGHWAY 90
MARIANNA, FL 32446
Jackson County (850) 718-5620

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 Gainesville Vamc's NPI number?

The NPI number for Gainesville Vamc is 1255506911. It was assigned to this organization in the NPPES registry on April 24, 2008. The provider is also known as Marianna VA Cboc.

Where is Gainesville Vamc located?

Gainesville Vamc is located at 4970 Highway 90, Marianna, FL 32446. The listed phone number is (888) 263-1889.

What is Gainesville Vamc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in VA, with taxonomy code 261QV0200X.

When was this NPI record last updated?

The NPPES record for Gainesville Vamc was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.