Northeast Florida Health Services, Inc.
NPI 1396282208 · Federally Qualified Health Center (FQHC) · South Daytona, FL
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Northeast Florida Health Services, Inc. is a Federally Qualified Health Center (FQHC) organization in South Daytona, FL (NPI 1396282208).
Provider details
- NPI number
- 1396282208
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Northeast Florida Health Services, Inc.
- Organization subpart
- Yes
- Authorized official
- Rebecca Collier, Credentialing Coordinator(386) 202-6025
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Family Health Source
Registry dates
- Enumerated
- 2017-01-30
- Last updated
- 2021-08-10
- Certified
- 2021-08-10
Frequently asked questions
- What is Northeast Florida Health Services, Inc.'s NPI number?
- Northeast Florida Health Services, Inc.'s National Provider Identifier (NPI) is 1396282208, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northeast Florida Health Services, Inc.?
- Northeast Florida Health Services, Inc. is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Northeast Florida Health Services, Inc. located?
- Northeast Florida Health Services, Inc.'s practice location on file with NPPES is 801 Beville Rd Ste 101&102, South Daytona, FL 32119-1860.
- What is Northeast Florida Health Services, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Northeast Florida Health Services, Inc. is (386) 267-6214.
- Does Northeast Florida Health Services, Inc. accept Medicare?
- Northeast Florida Health Services, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Northeast Florida Health Services, Inc.?
- The authorized official listed on Northeast Florida Health Services, Inc.'s NPPES record is Rebecca Collier, Credentialing Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northeast Florida Health Services, Inc.'s NPI active?
- Yes — Northeast Florida Health Services, Inc.'s NPI (1396282208) is active in the NPPES registry as of the last update on 2021-08-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.