JACKSON COUNTY HEALTH DEPARTMENT
NPI 1487724969
Public Health or Welfare in Marianna, FL

Active since November 09, 2006CLIA 10D0677280 · Microscopy
4979 HEALTHY WAY, MARIANNA, FL 32446(850) 526-2412(850) 718-0383 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jackson County Health Department NPPES

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

JACKSON COUNTY HEALTH DEPARTMENT (NPI 1487724969) is a healthcare organization registered as a public health or welfare in Marianna, Florida and active in the NPI registry since November 2006. The organization holds a CLIA Microscopy certificate valid through January 8, 2027 and lists Susannah Culbreath, Billing Administrator, as its authorized official.

NPPES Registry Identity

NPI1487724969
Entity TypeOrganization
Primary Taxonomy251K00000X
Legal Business NameFLORIDA DEPARTMENT OF HEALTH
Location Address4979 HEALTHY WAYMarianna, FL 32446-7993
Mailing Address4979 Healthy Way, Po Box 310Marianna, FL 32446-7993 · (850) 526-2412 · Fax (850) 718-0383
Fax(850) 718-0383
Organization SubpartYes
Authorized OfficialSusannah CulbreathBilling Administrator · (850) 526-2412
Enumeration DateNovember 9, 2006
Last NPPES UpdateOctober 14, 2024
NPPES CertifiedOctober 14, 2024
✔ NPI 1487724969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPublic Health or WelfareAgencies
Taxonomy Code251K00000X
License✔ Licensed in FL · ME86600
Also ListedPreventive Medicine · Public Health & General Preventive MedicineTaxonomy 2083P0901X · License ME86600 (FL)
4979 HEALTHY WAY, Marianna, FL 32446

Other Names 1

Doing Business AsJackson County Health Department

Other Identifiers 2

Medicaid027942100FL
Other97896FL · Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

Jackson County Health Department is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Jackson County Health Department, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1942250659
4126 INDEPENDENT DRIVE
Panama City, FL 32448
(850) 394-4907
✔ PECOS✔ Accepts Medicare4.9 mi
Nurse Practitioner
NPI 1568120046
1798 GEORGIA ST
Alford, FL 32420
(850) 526-6727
✔ PECOS15 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 for Provider-Performed Microscopy Procedures (PPMP) 10D0677280

Jackson County Health Department · Marianna, FL
Active · expires Jan 8, 2027
CLIA Number10D0677280
Laboratory TypePublic Health Laboratories
Certificate Effective DateJanuary 9, 2025
Certificate Expiration DateJanuary 8, 2027
Laboratory DirectorKongsak Chantornsaeng
Laboratory Phone(850) 526-2412
Laboratory LocationJackson County Health Department4979 Healthy Way, Marianna, FL 32446
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Florida Department Of Health's NPI number?

The NPI number for Florida Department Of Health is 1487724969. It was assigned to this organization in the NPPES registry on November 9, 2006. The provider is doing business as Jackson County Health Department.

Where is Florida Department Of Health located?

Florida Department Of Health is located at 4979 Healthy Way, Marianna, FL 32446. The listed phone number is (850) 526-2412.

What is Florida Department Of Health's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

Is Florida Department Of Health enrolled in Medicare?

Yes. Florida Department Of Health is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Florida Department Of Health?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Florida Department Of Health, in Internal Medicine and Nurse Practitioner. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Florida Department Of Health hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 10D0677280) is associated with this NPI, valid through January 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Florida Department Of Health accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare and Wellpoint list Florida Department Of Health 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 Florida Department Of Health was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.