PERRY VA CLINIC
NPI 1376910968
Clinic/Center in Perry, FL

Active since August 31, 2015CLIA 10D2099235 · Accreditation
1224 N PEACOCK AVE, PERRY, FL 32347(866) 793-4591 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Perry Va Clinic NPPES

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

PERRY VA CLINIC (NPI 1376910968) is a healthcare organization registered as a clinic/center in Perry, Florida and active in the NPI registry since August 2015. The organization holds an CLIA Accreditation certificate valid through September 30, 2026 and lists Erin Potter, Npi Team Member, as its authorized official.

NPPES Registry Identity

NPI1376910968
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameGAINESVILLE VAMC
Location Address1224 N PEACOCK AVEPerry, FL 32347-2117
Mailing AddressPo Box 94468Cleveland, OH 44101-4468 · (866) 793-4591
Organization SubpartNo
Authorized OfficialErin PotterNpi Team Member · (202) 382-2579
Enumeration DateAugust 31, 2015
Last NPPES UpdateMarch 28, 2023
NPPES CertifiedMarch 28, 2023
✔ NPI 1376910968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1224 N PEACOCK AVE, Perry, FL 32347

Other Names 1

Other NamePerry Va Clinic

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 Accreditation 10D2099235

Perry VA Cboc · Perry, FL
Active · expires Sep 30, 2026
CLIA Number10D2099235
Laboratory TypeCommunity Clinic
Certificate Effective DateJuly 22, 2015
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorRobert W. Allan
Laboratory Phone(857) 203-5113
Laboratory LocationPerry VA Cboc1224 North Peacock Avenue, Perry, FL 32347
CLIA data matches this NPI record on: Address
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 3

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

Clinic/Center (Hearing and Speech)
1224 N PEACOCK AVE
PERRY, FL 32347
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1224 N PEACOCK AVE
PERRY, FL 32347
Social Worker (Clinical)
1224 N PEACOCK AVE
PERRY, FL 32347

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 1376910968. It was assigned to this organization in the NPPES registry on August 31, 2015. The provider is also known as Perry VA Clinic.

Where is Gainesville Vamc located?

Gainesville Vamc is located at 1224 N Peacock Ave, Perry, FL 32347. The listed phone number is (866) 793-4591.

What is Gainesville Vamc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Gainesville Vamc hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 10D2099235) is associated with this NPI, valid through September 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.