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PANHANDLE PRIMARY CARE PLLC
NPI 1558186437
Clinic/Center - Primary Care in Crawfordville, FL

Active since November 18, 2024CLIA 10D2317665 · Waiver
36 OCHLOCKONEE ST, CRAWFORDVILLE, FL 32327(850) 879-0759(850) 676-3945 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Apr 30, 2026, Nov 18, 2024 (2 updates tracked since 2024).

About Panhandle Primary Care Pllc NPPES

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

PANHANDLE PRIMARY CARE PLLC (NPI 1558186437) is a healthcare organization registered as a primary care in Crawfordville, Florida and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through January 28, 2027 and lists Valerie Marie Russell, Business Owner, as its authorized official.

NPPES Registry Identity

NPI1558186437
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePANHANDLE PRIMARY CARE PLLC
Location Address36 OCHLOCKONEE STCrawfordville, FL 32327-2038
Mailing Address36 Ochlockonee StCrawfordville, FL 32327-2038 · (850) 879-0759 · Fax (850) 676-9245
Phone(850) 879-0759
Fax(850) 676-3945
Organization SubpartNo
Authorized OfficialValerie Marie RussellBusiness Owner · (850) 879-0759
Enumeration DateNovember 18, 2024
Last NPPES UpdateApril 30, 20262 updates tracked since enumeration
NPPES CertifiedApril 30, 2026
✔ NPI 1558186437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
36 OCHLOCKONEE ST, Crawfordville, FL 32327
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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 10D2317665

Panhandle Primary Care Inc · Crawfordville, FL
Active · expires Jan 28, 2027
CLIA Number10D2317665
Laboratory TypePhysician Office
Certificate Effective DateJanuary 29, 2025
Certificate Expiration DateJanuary 28, 2027
Laboratory DirectorValerie M. Russell
Laboratory Phone(850) 879-0759
Laboratory LocationPanhandle Primary Care Inc36 Ochlocknee Street, Crawfordville, FL 32327
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only 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 Panhandle Primary Care PLLC's NPI number?

The NPI number for Panhandle Primary Care PLLC is 1558186437. It was assigned to this organization in the NPPES registry on November 18, 2024.

Where is Panhandle Primary Care PLLC located?

Panhandle Primary Care PLLC is located at 36 Ochlockonee St, Crawfordville, FL 32327. The listed phone number is (850) 879-0759.

What is Panhandle Primary Care PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Panhandle Primary Care PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2317665) is associated with this NPI, valid through January 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Panhandle Primary Care PLLC was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.