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WILLISTON PEDIATRICS, INC
NPI 1326137001
Clinic/Center - Rural Health in Williston, FL

Active since October 12, 2006CLIA 10D0970930 · Waiver
223 N MAIN ST, WILLISTON, FL 32696(352) 529-0477(352) 529-0406 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 28, 2020, Aug 22, 2020 (2 updates tracked since 2020).

About Williston Pediatrics, Inc NPPES

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

WILLISTON PEDIATRICS, INC (NPI 1326137001) is a healthcare organization registered as a rural health in Williston, Florida and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through February 28, 2028 and lists Andrea M Quinlan, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1326137001
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameWILLISTON PEDIATRICS, INC
Location Address223 N MAIN STWilliston, FL 32696-2136
Mailing Address223 N Main StWilliston, FL 32696-2136 · (352) 529-0477 · Fax (352) 529-0406
Phone(352) 529-0477
Fax(352) 529-0406
Organization SubpartNo
Authorized OfficialAndrea M QuinlanTreasurer · (352) 529-0477
Enumeration DateOctober 12, 2006
Last NPPES UpdateOctober 28, 20202 updates tracked since enumeration
NPPES CertifiedOctober 28, 2020
✔ NPI 1326137001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
223 N MAIN ST, Williston, FL 32696
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Other Identifiers 2

Medicaid660141301FL
Medicaid660141300FL

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 10D0970930

Williston Pediatrics, Inc · Williston, FL
Active · expires Feb 28, 2028
CLIA Number10D0970930
Laboratory TypePractitioner Other
Certificate Effective DateFebruary 28, 2026
Certificate Expiration DateFebruary 28, 2028
Laboratory DirectorCasady B. Gaines
Laboratory Phone(352) 529-0477
Laboratory LocationWilliston Pediatrics, Inc223 N Main St, Williston, FL 32696
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

WILLISTON PEDIATRICS, INC
Clinic/Center (Rural Health)
223 N MAIN ST
WILLISTON, FL 32696
Levy County (352) 529-0477
DR. CASADY BLAUW GAINES MD
Pediatrics
223 N MAIN ST
WILLISTON, FL 32696
Levy County (352) 529-0477
MRS. HEATHER NICOLE STANCIL APRN
Nurse Practitioner (Family)
223 N MAIN ST
WILLISTON, FL 32696
Levy County (352) 529-0477
MRS. HEATHER MAE FUSSELL APRN
Nurse Practitioner (Family)
223 N MAIN ST
WILLISTON, FL 32696
Levy County (352) 529-0477

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 Williston Pediatrics, Inc's NPI number?

The NPI number for Williston Pediatrics, Inc is 1326137001. It was assigned to this organization in the NPPES registry on October 12, 2006.

Where is Williston Pediatrics, Inc located?

Williston Pediatrics, Inc is located at 223 N Main St, Williston, FL 32696. The listed phone number is (352) 529-0477.

What is Williston Pediatrics, Inc's specialty?

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

Does Williston Pediatrics, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0970930) is associated with this NPI, valid through February 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Williston Pediatrics, Inc was last updated on October 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.