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TAYLEN PEADEN D.O. PLLC
NPI 1710693858
Family Medicine in Lake City, FL

Active since January 23, 2023CLIA 10D2283903 · Waiver
1111 SW MAIN BLVD, LAKE CITY, FL 32025(386) 365-4922 Get Directions Write a Review

NPPES record last updated: January 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Taylen Peaden D.o. Pllc NPPES

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

TAYLEN PEADEN D.O. PLLC (NPI 1710693858) is a healthcare organization registered as a family medicine in Lake City, Florida and active in the NPI registry since January 2023. The organization holds a CLIA Waiver certificate valid through June 13, 2027 and lists Taylen Clay Peaden, Owner, as its authorized official.

NPPES Registry Identity

NPI1710693858
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTAYLEN PEADEN D.O. PLLC
Location Address1111 SW MAIN BLVDLake City, FL 32025-5767
Mailing Address1111 Sw Main BlvdLake City, FL 32025-5767
Phone(386) 365-4922
Organization SubpartNo
Authorized OfficialTaylen Clay PeadenOwner · (386) 365-4922
Enumeration DateJanuary 23, 2023
NPPES CertifiedJanuary 23, 2023
✔ NPI 1710693858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
1111 SW MAIN BLVD, Lake City, FL 32025
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 10D2283903

Taylen Peaden Do, PLLC · Lake City, FL
Active · expires Jun 13, 2027
CLIA Number10D2283903
Laboratory TypePhysician Office
Certificate Effective DateJune 14, 2025
Certificate Expiration DateJune 13, 2027
Laboratory DirectorTaylen C. Peaden
Laboratory Phone(386) 365-4922
Laboratory LocationTaylen Peaden Do, PLLC1111 S W Main Blvd, Lake City, FL 32025
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. TAYLEN PEADEN D.O.
Family Medicine
1111 SW MAIN BLVD
LAKE CITY, FL 32025
Columbia County (000) 000-0000

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 Taylen Peaden D.O. PLLC's NPI number?

The NPI number for Taylen Peaden D.O. PLLC is 1710693858. It was assigned to this organization in the NPPES registry on January 23, 2023.

Where is Taylen Peaden D.O. PLLC located?

Taylen Peaden D.O. PLLC is located at 1111 SW Main Blvd, Lake City, FL 32025. The listed phone number is (386) 365-4922.

What is Taylen Peaden D.O. PLLC's specialty?

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

Does Taylen Peaden D.O. PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2283903) is associated with this NPI, valid through June 13, 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 Taylen Peaden D.O. PLLC was last updated on January 23, 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.