LIFE MANAGEMENT CENTER OF NORTHWEST FLORIDA INC
NPI 1710912886
Psychiatry & Neurology - Psychiatry in Bonifay, FL
About Life Management Center Of Northwest Florida Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIFE MANAGEMENT CENTER OF NORTHWEST FLORIDA INC (NPI 1710912886) is a healthcare organization registered as a psychiatry in Bonifay, Florida and active in the NPI registry since July 2006. The organization lists Edwin Ailes, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
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)
Life Management Center Of Northwest Florida Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
27Medicare enrollment records show 27 clinicians reassign Medicare billing to Life Management Center Of Northwest Florida Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 27Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Life Management Center Of Northwest Florida Inc's NPI number?
The NPI number for Life Management Center Of Northwest Florida Inc is 1710912886. It was assigned to this organization in the NPPES registry on July 11, 2006.
Where is Life Management Center Of Northwest Florida Inc located?
Life Management Center Of Northwest Florida Inc is located at 310 E Byrd Ave, Bonifay, FL 32425. The listed phone number is (850) 522-4480.
What is Life Management Center Of Northwest Florida Inc's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Life Management Center Of Northwest Florida Inc enrolled in Medicare?
Yes. Life Management Center Of Northwest Florida Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Life Management Center Of Northwest Florida Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 27 clinicians in 4 Medicare specialties reassign their Medicare billing to Life Management Center Of Northwest Florida Inc. 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 (10), Mental Health Counselor (8) and Clinical Social Worker (6). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Life Management Center Of Northwest Florida Inc accept?
Health plans from Wellpoint list Life Management Center Of Northwest Florida Inc 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 Life Management Center Of Northwest Florida Inc was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Life Management Center Of Northwest Florida Inc · NPI 1710912886
Psychiatry organization in Bonifay, Florida. Organization record, active in the CMS NPPES registry since July 11, 2006.
## Identity
- **NPI:** 1710912886 (Entity type: Organization)
- **Enumerated:** July 11, 2006
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **Also known as:** Life Management Center of Northwest Florida Inc (Other Name)
- **Organization subpart:** Yes (part of Life Management Center Of Northwest Florida, Inc)
- **Authorized official:** Edwin Ailes, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 310 E BYRD AVE, Bonifay, FL 32425-3006
- **Phone:** (850) 522-4480 · **Fax:** (850) 914-6281
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 27 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (10), Mental Health Counselor (8), Clinical Social Worker (6); 2 practice at this address; [full list](https://npiprofile.com/npi/1710912886/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 24, 2025
- **Other identifiers:** Medicaid 060296549 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1710912886) · Data from the CMS NPPES public registry.