Collinwood Family Care, LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

COLLINWOOD FAMILY CARE, LLC

Practice address

105 3Rd Ave N
Collinwood, TN 38450-4696

Phone

(931) 724-4628

Fax

(931) 724-4705

NPI assigned

Jul 15, 2020

Last updated

Sep 30, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Daysha A Brantley, APNNPI 1609978048

Title

Nurse Practitioner / Owner

Phone

(931) 724-4628

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023626124. Details of each certification follow.

• CCN 888947 Rural health clinic · Active · Name & address match · Details

Rural health clinic certification: CCN 888947

Legal name

COLLINWOOD FAMILY CARE

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Feb 26, 2026

Last certification

Feb 26, 2026

Ownership / control type

1A

Facility address

105 3Rd Ave N
Collinwood, TN 38450

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daysha A Brantley, MSN, FNP-C

  • Family Nurse Practitioner
  • Collinwood, TN
  • NPI 1609978048
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790726400000",
    "number": "1023626124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 3RD AVE N",
            "city": "COLLINWOOD",
            "state": "TN",
            "postal_code": "384504696",
            "telephone_number": "931-724-4628",
            "fax_number": "931-724-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 3RD AVE N",
            "city": "COLLINWOOD",
            "state": "TN",
            "postal_code": "384504696",
            "telephone_number": "931-724-4628",
            "fax_number": "931-724-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLINWOOD FAMILY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-15",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A",
        "authorized_official_last_name": "BRANTLEY",
        "authorized_official_first_name": "DAYSHA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "NURSE PRACTITIONER / OWNER",
        "authorized_official_telephone_number": "931-724-4628",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daysha A Brantley, MSN, FNP-C
• Jacqualyn Brittney Brison
• Carla Staggs (Collinwood Drugs)
• Carla Staggs (Collinwood Drugs)
• Collinwood Drugs
• David M. Magas, M.D. (Collinwood Medical Clinic)
• Fast Pace Medical Clinic PLLC
• Leigh Abbie Hammond, LCSW
• Hollis Home Care, Incorporated
• Heather Bryan Johnston

• Rural Health Clinic/Center in Collinwood, TN
• Providers in Collinwood, TN by specialty
• Rural Health Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.