CLAY PRIMARY & FAMILY CARE LLC
NPI 1730186792
Family Medicine in Orange Park, FL
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
Specialties & Licenses
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)
Clay Primary & Family Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Clay Primary & Family Care LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (13)
Jacksonville, FL 32257
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) 10D0671193
Clay Primary & Family Care LLC · Orange Park, FLFrequently 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.
Is Clay Primary & Family Care LLC enrolled in Medicare?
Yes. Clay Primary & Family Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Clay Primary & Family Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 3 Medicare specialties reassign their Medicare billing to Clay Primary & Family Care LLC. 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 (9), Family Practice (3) and General Practice (1). Of these, 4 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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) and 1 other insurer 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.
# Clay Primary & Family Care Llc · NPI 1730186792
Family Medicine organization in Orange Park, Florida. Organization record, active in the CMS NPPES registry since July 6, 2005.
## Identity
- **NPI:** 1730186792 (Entity type: Organization)
- **Enumerated:** July 6, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Massoud Moshiree, PRESIDENT/OWNER
## Practice location
- **Address:** 865 BLANDING BLVD, Orange Park, FL 32065-8917
- **Phone:** (904) 276-1133 · **Fax:** (904) 276-1821
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (9), Family Practice (3), General Practice (1); 4 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2022
- **Other identifiers:** Medicaid 255561100 (FL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1730186792) · Data from the CMS NPPES public registry.