FAMILY HEALTH SOURCE
NPI 1992792311
Clinic/Center - Federally Qualified Health Center (FQHC) in Pierson, FL
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
Specialties & Licenses
Other Names 1
Other Identifiers 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)
Family Health Source is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Family Health Source, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (11)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Northeast Florida Health Services, Inc. enrolled in Medicare?
Yes. Northeast Florida Health Services, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Northeast Florida Health Services, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 6 Medicare specialties reassign their Medicare billing to Northeast Florida Health Services, Inc.. 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 (4), Dentist (2) and Family Practice (2). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Northeast Florida Health Services, Inc. accept?
Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare 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.
# Family Health Source · NPI 1992792311
Federally Qualified Health Center (FQHC) organization in Pierson, Florida. Organization record, active in the CMS NPPES registry since September 30, 2005.
## Identity
- **NPI:** 1992792311 (Entity type: Organization)
- **Enumerated:** September 30, 2005
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Northeast Florida Health Services, Inc.
- **Organization subpart:** Yes (part of Northeast Florida Health Services, Inc.)
- **Authorized official:** Dina Geoghegan, CREDENTIALING/CONTRACTS ADMIN
## Practice location
- **Address:** 216 N. FREDERICK STREET, Pierson, FL 32180
- **Phone:** (386) 202-6025 · **Fax:** (386) 200-4563
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Dentist (2), Family Practice (2); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 16, 2023
- **Other identifiers:** Medicaid 687955100 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1992792311) · Data from the CMS NPPES public registry.