FAMILY HEALTH CENTER AT PORT ST JOHN LLC
NPI 1851575377
Family Medicine in Cocoa, FL
About Family Health Center At Port St John Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAMILY HEALTH CENTER AT PORT ST JOHN LLC (NPI 1851575377) is a healthcare organization registered as a family medicine in Cocoa, Florida and active in the NPI registry since December 2007. The organization holds an CLIA Accreditation certificate valid through May 13, 2028 and lists Janis G Black, Physician/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Family Health Center At Port St John Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Family Health Center At Port St John LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 of Accreditation 10D1081504
Family Health Center At Port St John · Cocoa, 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 Family Health Center At Port St John LLC's NPI number?
The NPI number for Family Health Center At Port St John LLC is 1851575377. It was assigned to this organization in the NPPES registry on December 19, 2007.
Where is Family Health Center At Port St John LLC located?
Family Health Center At Port St John LLC is located at 3740 Curtis Blvd Suite 108, Cocoa, FL 32927. The listed phone number is (321) 633-5500.
What is Family Health Center At Port St John LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Family Health Center At Port St John LLC enrolled in Medicare?
Yes. Family Health Center At Port St John LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Family Health Center At Port St John LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Family Health Center At Port St John LLC, in Family Practice, Hospitalist 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, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Family Health Center At Port St John LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 10D1081504) is associated with this NPI, valid through May 13, 2028. 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 Health Center At Port St John LLC was last updated on December 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Family Health Center At Port St John Llc · NPI 1851575377
Family Medicine organization in Cocoa, Florida. Organization record, active in the CMS NPPES registry since December 19, 2007.
## Identity
- **NPI:** 1851575377 (Entity type: Organization)
- **Enumerated:** December 19, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Janis Black, PHYSICIAN/OWNER
## Practice location
- **Address:** 3740 CURTIS BLVD, SUITE 108, Cocoa, FL 32927-3962
- **Phone:** (321) 633-5500 · **Fax:** (321) 633-5566
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Hospitalist (1), Nurse Practitioner (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 3, 2013
- **Other identifiers:** Medicare UPIN I62653 (FL); Medicaid 2753011400 (FL); Medicare PIN U8317Z (FL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1851575377) · Data from the CMS NPPES public registry.