OrganizationActive
Northeast Florida Health Services, Inc.
NPI 1609543503 · Family Medicine Physician · Pierson, FL
Provider details
- NPI number
- 1609543503
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Northeast Florida Health Services, Inc.
- Organization subpart
- Yes
- Authorized official
- Rebecca Collier, Credentialing/Contracts Admin(386) 202-6025
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Federally Qualified Health Center (FQHC)261QF0400X
Ambulatory Health Care Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
216 Frederick St
Pierson, FL 32180-3024
Phone: (386) 749-9449
Fax: (386) 749-9447
Street-level locationGet directions
Mailing address
1205 S Woodland Blvd Ste 3
Deland, FL 32720-7464
Other names (DBA / former)
- Doing business as
- Family Health Source
Registry dates
- Enumerated
- 2021-08-27
- Last updated
- 2021-08-27
- Certified
- 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.