FLORIDA STATE HOSPITAL
NPI 1578895470
Psychiatric Hospital in Chattahoochee, FL

Active since February 03, 2010CLIA Certified · 2 labs
100 N MAIN ST, CHATTAHOOCHEE, FL 32324(850) 663-7802(850) 663-7516 Get Directions Write a Review

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Florida State Hospital NPPES

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

FLORIDA STATE HOSPITAL (NPI 1578895470) is a healthcare organization registered as a psychiatric hospital in Chattahoochee, Florida and active in the NPI registry since February 2010. The organization holds 2 active CLIA laboratory certificates and lists Stephen B Lewallen, Hospital Administrator, as its authorized official.

NPPES Registry Identity

NPI1578895470
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NameFLORIDA DEPARTMENT OF CHILDREN AND FAMILIES
Location Address100 N MAIN STChattahoochee, FL 32324-1107
Mailing Address100 N Main St, Financial Svcs., Bldg 1260, 3rd FloorChattahoochee, FL 32324-1107 · (850) 663-7802 · Fax (850) 663-7516
Fax(850) 663-7516
Organization SubpartYes
Authorized OfficialStephen B LewallenHospital Administrator · (850) 663-7536
Enumeration DateFebruary 3, 2010
Last NPPES UpdateNovember 18, 2020
NPPES CertifiedNovember 18, 2020
✔ NPI 1578895470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
License✔ Licensed in FL · 3990
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
100 N MAIN ST, Chattahoochee, FL 32324

Other Names 1

Doing Business AsFlorida State Hospital

Other Identifiers 1

Medicaid026001100FL

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Florida State Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

87

Medicare enrollment records show 87 clinicians reassign Medicare billing to Florida State Hospital, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 11 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Nurse Practitioner29
Diagnostic Radiology17
Psychiatry17
General Practice13
Internal Medicine8
Family Practice2
Interventional Radiology1

Nearest to this location (20)

See all 87
Nurse Practitioner
NPI 1073148698
100 N MAIN ST
Chattahoochee, FL 32324
(850) 663-7501
✔ PECOSSame address
Nurse Practitioner
NPI 1588129373
100 N MAIN ST
Chattahoochee, FL 32324
(850) 663-7536
✔ PECOS✔ Accepts MedicareSame address
General Practice
NPI 1902193758
100 N MAIN ST
Chattahoochee, FL 32324
(850) 663-7661
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1336022771
100 N MAIN ST
Chattahoochee, FL 32324
(850) 793-6483
✔ PECOSSame address
Nurse Practitioner
NPI 1881295459
100 N MAIN ST
Chattahoochee, FL 32324
(850) 663-7383
✔ PECOSSame address
Nurse Practitioner
NPI 1215637004
100 N MAIN ST
Chattahoochee, FL 32324
(850) 663-1065
✔ PECOSSame address
Nurse Practitioner
NPI 1174132435
100 N MAIN ST
Chattahoochee, FL 32324
(850) 793-6863
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1356088264
100 N MAIN ST
Chattahoochee, FL 32324
(850) 663-7001
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1861776163
100 NORTH MAIN STREET FLORIDA STATE HOSPITAL
Chattahoochee, FL 32324
(850) 663-7660
✔ PECOS✔ Accepts Medicare0.4 mi
General Practice
NPI 1144764036
100 N MAIN ST
Chattahoochee, FL 32324
(850) 663-7401
✔ PECOS0.4 mi
Psychiatry
NPI 1770634271
PO BOX 1000
Chattahoochee, FL 32324
(832) 289-7522
✔ PECOS5.7 mi
Internal Medicine
NPI 1710986286
20454 NE FINLEY AVE
Blountstown, FL 32424
(850) 674-2221
✔ PECOS✔ Accepts Medicare21 mi
Internal Medicine
NPI 1841267010
20454 NE FINLEY AVE
Blountstown, FL 32424
(850) 674-2221
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1164400255
4319 LAFAYETTE ST
Marianna, FL 32446
(850) 372-4454
✔ PECOS24 mi
Internal Medicine
NPI 1942250659
4126 INDEPENDENT DRIVE
Panama City, FL 32448
(850) 394-4907
✔ PECOS✔ Accepts Medicare25 mi
Internal Medicine
NPI 1053323584
2200 S MONROE ST
Tallahassee, FL 32301
(506) 562-4378
✔ PECOS✔ Accepts Medicare39 mi
Nurse Practitioner
NPI 1376043034
2634 CAPITAL CIR NE
Tallahassee, FL 32308
(850) 523-3333
✔ PECOS✔ Accepts Medicare39 mi
Diagnostic Radiology
NPI 1316990328
1600 PHILLIPS RD
Tallahassee, FL 32308
(850) 878-4127
✔ PECOS✔ Accepts Medicare39 mi
Diagnostic Radiology
NPI 1144276387
1600 PHILLIPS RD
Tallahassee, FL 32308
(850) 878-4127
✔ PECOS✔ Accepts Medicare39 mi
General Practice
NPI 1316068703
1328 COASTAL HWY
Panacea, FL 32346
(850) 984-4735
✔ PECOS✔ Accepts Medicare54 mi
See all 87 clinicians

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 2

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 Compliance 10D0270276

Florida State Hospital Clinical Laboratory · Chattahoochee, FL
Active · expires Mar 25, 2027
CLIA Number10D0270276
Laboratory TypeHospital
Certificate Effective DateMarch 26, 2025
Certificate Expiration DateMarch 25, 2027
Laboratory DirectorStephen L. Sgan
Laboratory Phone(850) 663-1342
Laboratory LocationFlorida State Hospital Clinical Laboratory100 N Main St Palm Lane Bldg 1238, Chattahoochee, FL 32324
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 10D2009356

Florida State Hospital · Chattahoochee, FL
Active · expires Jun 30, 2028
CLIA Number10D2009356
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateJuly 1, 2026
Certificate Expiration DateJune 30, 2028
Laboratory DirectorKongsak Chantornsaeng
Laboratory Phone(850) 663-7496
Laboratory LocationFlorida State HospitalQuality Assessment Bldg 1249 100 N Main St, Chattahoochee, FL 32324
CLIA data matches this NPI record on: Name
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 Florida Department Of Children And Families's NPI number?

The NPI number for Florida Department Of Children And Families is 1578895470. It was assigned to this organization in the NPPES registry on February 3, 2010. The provider is doing business as Florida State Hospital.

Where is Florida Department Of Children And Families located?

Florida Department Of Children And Families is located at 100 N Main St, Chattahoochee, FL 32324. The listed phone number is (850) 663-7802.

What is Florida Department Of Children And Families's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

Is Florida Department Of Children And Families enrolled in Medicare?

Yes. Florida Department Of Children And Families is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Florida Department Of Children And Families?

According to the CMS Revalidation Reassignment List (October 2026 release), 87 clinicians in 7 Medicare specialties reassign their Medicare billing to Florida Department Of Children And Families. 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. The largest specialties are Nurse Practitioner (29), Diagnostic Radiology (17) and Psychiatry (17). Of these, 8 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Florida Department Of Children And Families hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Florida Department Of Children And Families was last updated on November 18, 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.