FAMILY CARE ASSOCIATES OF NW FLORIDA
NPI 1629122148
Family Medicine in Chipley, FL

Active since January 22, 2007CLIA 10D0956948 · Microscopy
925 CARLISLE RD, CHIPLEY, FL 32428(850) 638-9399(850) 638-3720 Get Directions Write a Review

NPPES record last updated: June 27, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Family Care Associates Of Nw Florida NPPES

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

FAMILY CARE ASSOCIATES OF NW FLORIDA (NPI 1629122148) is a healthcare organization registered as a family medicine in Chipley, Florida and active in the NPI registry since January 2007. The organization holds a CLIA Microscopy certificate valid through February 8, 2027 and lists Greg Keith Sloan, President, as its authorized official.

NPPES Registry Identity

NPI1629122148
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAMILY CARE ASSOCIATES OF NW FLORIDA
Location Address925 CARLISLE RDChipley, FL 32428-4360
Mailing Address925 Carlisle RdChipley, FL 32428-4360 · (850) 638-9399 · Fax (850) 638-3720
Fax(850) 638-3720
Organization SubpartNo
Authorized OfficialGreg Keith SloanPresident · (850) 638-9399
Enumeration DateJanuary 22, 2007
Last NPPES UpdateJune 27, 2008
✔ NPI 1629122148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · 42501
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
925 CARLISLE RD, Chipley, FL 32428

Other Identifiers 4

Medicaid258812900FL
Other38498FL · Bcbs
Medicare PINK1573FL
Medicare PINCJ3098

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Family Care Associates Of Nw Florida is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20080805000402Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Family Care Associates Of NW Florida, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1518077635
925 CARLISLE RD
Chipley, FL 32428
(850) 638-9399
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1225251978
1690 N MONROE ST
Tallahassee, FL 32303
(850) 385-2222
✔ PECOS✔ Accepts Medicare78 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) 10D0956948

Family Care Associates Of Northwest Florida · Chipley, FL
Active · expires Feb 8, 2027
CLIA Number10D0956948
Laboratory TypePhysician Office
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorGreg K. Sloan
Laboratory Phone(850) 638-9399
Laboratory LocationFamily Care Associates Of Northwest Florida925 Carlisle Rd, Chipley, FL 32428
CLIA data matches this NPI record on: Address 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 Family Care Associates Of NW Florida's NPI number?

The NPI number for Family Care Associates Of NW Florida is 1629122148. It was assigned to this organization in the NPPES registry on January 22, 2007.

Where is Family Care Associates Of NW Florida located?

Family Care Associates Of NW Florida is located at 925 Carlisle Rd, Chipley, FL 32428. The listed phone number is (850) 638-9399.

What is Family Care Associates Of NW Florida's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Family Care Associates Of NW Florida enrolled in Medicare?

Yes. Family Care Associates Of NW Florida is registered in the Medicare PECOS enrollment system.

When is Family Care Associates Of NW Florida's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Family Care Associates Of NW Florida?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Family Care Associates Of NW Florida, in Family Practice 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 at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Family Care Associates Of NW Florida hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 10D0956948) is associated with this NPI, valid through February 8, 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 Family Care Associates Of NW Florida was last updated on June 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.