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MARIANNA PEDIATRIC ASSOCIATES PA
NPI 1871683854
Pediatrics in Marianna, FL

Active since October 13, 2006CLIA 10D0706107 · Waiver
4230 HOSPITAL DR, STE 102, MARIANNA, FL 32446(850) 482-2004(850) 482-4778 Get Directions Write a Review

NPPES record last updated: June 20, 2008. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Marianna Pediatric Associates Pa NPPES

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

MARIANNA PEDIATRIC ASSOCIATES PA (NPI 1871683854) is a healthcare organization registered as a pediatrics in Marianna, Florida and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through September 24, 2027 and lists Doyle Lon Bosse, Doctor Owner, as its authorized official.

NPPES Registry Identity

NPI1871683854
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMARIANNA PEDIATRIC ASSOCIATES PA
Location Address4230 HOSPITAL DR, STE 102Marianna, FL 32446-1934
Mailing Address4230 Hospital Dr, Ste 102Marianna, FL 32446-1934 · (850) 482-2004 · Fax (850) 482-4778
Phone(850) 482-2004
Fax(850) 482-4778
Organization SubpartNo
Authorized OfficialDoyle Lon BosseDoctor Owner · (850) 482-2004
Enumeration DateOctober 13, 2006
Last NPPES UpdateJune 20, 2008
✔ NPI 1871683854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME57543
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4230 HOSPITAL DR, Marianna, FL 32446
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Other Identifiers 1

Medicaid259181200FL

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 10D0706107

Marianna Pediatric Associates PA · Marianna, FL
Active · expires Sep 24, 2027
CLIA Number10D0706107
Laboratory TypePhysician Office
Certificate Effective DateSeptember 25, 2025
Certificate Expiration DateSeptember 24, 2027
Laboratory DirectorDoyle L. Bosse
Laboratory Phone(850) 482-2004
Laboratory LocationMarianna Pediatric Associates PA4230 Hospital Dr Ste 102, Marianna, FL 32446
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

MR. JOHN JOSEPH NANFRO M.D.
Internal Medicine (Hematology & Oncology)
4230 HOSPITAL DR, STE 101
MARIANNA, FL 32446
Jackson County (850) 526-7607
DR. DOYLE LON BOSSE M.D.
Pediatrics
4230 HOSPITAL DR, SUITE 102
MARIANNA, FL 32446
Jackson County (850) 482-2004
MRS. DEANNA MICHELLE BABER ARNP
Nurse Practitioner (Family)
4230 HOSPITAL DR, SUITE 209
MARIANNA, FL 32446
Jackson County (850) 526-6711
MARIANNA OB GYN ASSOCIATES P A
Specialist
4230 HOSPITAL DR, SUITE 209
MARIANNA, FL 32446
Jackson County (850) 482-6484

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 Marianna Pediatric Associates PA's NPI number?

The NPI number for Marianna Pediatric Associates PA is 1871683854. It was assigned to this organization in the NPPES registry on October 13, 2006.

Where is Marianna Pediatric Associates PA located?

Marianna Pediatric Associates PA is located at 4230 Hospital Dr Ste 102, Marianna, FL 32446. The listed phone number is (850) 482-2004.

What is Marianna Pediatric Associates PA's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Marianna Pediatric Associates PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0706107) is associated with this NPI, valid through September 24, 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 Marianna Pediatric Associates PA was last updated on June 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.