FAMILY HEALTH SOURCE
NPI 1992792311
Clinic/Center - Federally Qualified Health Center (FQHC) in Pierson, FL

Q: What is Northeast Florida Health Services, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since September 30, 2005

216 N. FREDERICK STREET, PIERSON, FL 32180(386) 202-6025(386) 200-4563 Get Directions Write a Review

NPPES record last updated: March 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 16, 2023, Aug 10, 2021, May 6, 2021 and 3 more (6 updates tracked since 2018).

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About Family Health Source NPPES

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

FAMILY HEALTH SOURCE (NPI 1992792311) is a healthcare organization registered as a federally qualified health center (fqhc) in Pierson, Florida and active in the NPI registry since September 2005. The organization lists Dina Geoghegan, Credentialing/contracts Admin, as its authorized official.

NPPES Registry Identity

NPI1992792311

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameNORTHEAST FLORIDA HEALTH SERVICES, INC.

Location Address216 N. FREDERICK STREETPierson, FL 32180

Mailing Address1205 S Woodland Blvd Ste 3Deland, FL 32720-7464 · (386) 202-6025 · Fax (386) 749-9947

Phone(386) 202-6025

Fax(386) 200-4563

Organization SubpartYes

Authorized OfficialDina GeogheganCredentialing/contracts Admin · (386) 327-4781

Enumeration DateSeptember 30, 2005

Last NPPES UpdateMarch 16, 20236 updates tracked since enumeration

NPPES CertifiedMarch 16, 2023

✔ NPI 1992792311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

216 N. FREDERICK STREET, Pierson, FL 32180

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Other Names 1

Doing Business AsFamily Health Source

Other Identifiers 1

Medicaid687955100FL

Accepted Insurance

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

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 Northeast Florida Health Services, Inc.'s NPI number?

The NPI number for Northeast Florida Health Services, Inc. is 1992792311. It was assigned to this organization in the NPPES registry on September 30, 2005. The provider is doing business as Family Health Source.

Where is Northeast Florida Health Services, Inc. located?

Northeast Florida Health Services, Inc. is located at 216 N. Frederick Street, Pierson, FL 32180. The listed phone number is (386) 202-6025.

What is Northeast Florida Health Services, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

What insurance does Northeast Florida Health Services, Inc. accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Northeast Florida Health Services, 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 Northeast Florida Health Services, Inc. was last updated on March 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.