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CLAY PRIMARY & FAMILY CARE LLC
NPI 1730186792
Family Medicine in Orange Park, FL

Active since July 06, 2005CLIA 10D0671193 · Microscopy
865 BLANDING BLVD, ORANGE PARK, FL 32065(904) 276-1133(904) 276-1821 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clay Primary & Family Care Llc NPPES

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

CLAY PRIMARY & FAMILY CARE LLC (NPI 1730186792) is a healthcare organization registered as a family medicine in Orange Park, Florida and active in the NPI registry since July 2005. The organization holds a CLIA Microscopy certificate valid through December 9, 2027 and lists Massoud Moshiree, President/owner, as its authorized official.

NPPES Registry Identity

NPI1730186792
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCLAY PRIMARY & FAMILY CARE LLC
Location Address865 BLANDING BLVDOrange Park, FL 32065-8917
Mailing Address865 Blanding BlvdOrange Park, FL 32065-8917 · (904) 276-1133 · Fax (904) 276-1821
Phone(904) 276-1133
Fax(904) 276-1821
Organization SubpartNo
Authorized OfficialMassoud MoshireePresident/owner · (904) 276-1133
Enumeration DateJuly 6, 2005
Last NPPES UpdateJuly 21, 2022
✔ NPI 1730186792 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.
865 BLANDING BLVD, Orange Park, FL 32065
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Other Identifiers 1

Medicaid255561100FL

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed and more.Insurance ›

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) 10D0671193

Clay Primary & Family Care LLC · Orange Park, FL
Active · expires Dec 9, 2027
CLIA Number10D0671193
Laboratory TypePhysician Office
Certificate Effective DateDecember 10, 2025
Certificate Expiration DateDecember 9, 2027
Laboratory DirectorMassoud Moshiree
Laboratory Phone(904) 276-1133
Laboratory LocationClay Primary & Family Care LLC865 Blanding Blvd, Orange Park, FL 32065
CLIA data matches this NPI record on: Address Name 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.

Other Providers at the Same Location NPPES 6

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

MONICA FREEMAN FNP-C
Nurse Practitioner
865 BLANDING BLVD
ORANGE PARK, FL 32065
Clay County (904) 276-1133
DR. BEETHOVEN T RUEDAS M.D.
Family Medicine
865 BLANDING BLVD
ORANGE PARK, FL 32065
Clay County (904) 276-1133
DR. SEYED S. HOSSEINI M.D.
Family Medicine
865 BLANDING BLVD
ORANGE PARK, FL 32065
Clay County (904) 276-1133
DR. MASSOUD MOSHIREE M.D.
Family Medicine
865 BLANDING BLVD
ORANGE PARK, FL 32065
Clay County (904) 276-1133
MS. KIMBERLY C STEPHENS MSN APRN FNP-BC
Nurse Practitioner (Family)
865 BLANDING BLVD
ORANGE PARK, FL 32065
Clay County (904) 276-1133
MS. KIONA CHRISTINA PRITCHARD ARNP
Nurse Practitioner (Family)
865 BLANDING BLVD
ORANGE PARK, FL 32065
Clay County (904) 276-1133

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 Clay Primary & Family Care LLC's NPI number?

The NPI number for Clay Primary & Family Care LLC is 1730186792. It was assigned to this organization in the NPPES registry on July 6, 2005.

Where is Clay Primary & Family Care LLC located?

Clay Primary & Family Care LLC is located at 865 Blanding Blvd, Orange Park, FL 32065. The listed phone number is (904) 276-1133.

What is Clay Primary & Family Care LLC's specialty?

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

Does Clay Primary & Family Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 10D0671193) is associated with this NPI, valid through December 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Clay Primary & Family Care LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Clay Primary & Family Care LLC 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 Clay Primary & Family Care LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.