NPIMap

Organization Active NPI

North Florida Medical Centers, Inc.

Doing business as Madison Medical Center

  • Federally Qualified Health Center (FQHC)
  • Madison, FL
National Provider Identifier
1144637109
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
NORTH FLORIDA MEDICAL CENTERS, INC.
Doing business as
Madison Medical Center
Practice address
469 W Base St
Madison, FL 32340-2064
Phone
(850) 973-1402
Fax
(850) 973-1450
NPI assigned
Jul 22, 2014
Last updated
Jun 26, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTH FLORIDA MEDICAL CENTERS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Authorized official

Name
Lane Miller Lunn
Title
President/Ceo
Phone
(850) 385-4494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

469 W Base St
Madison, FL 32340-2064

Mailing address

2804 Remington Green Cir Ste 2
Tallahassee, FL 32308-1550
Phone (850) 385-4494

Other identifiers 3

IdentifierTypeStateIssuer
99388OtherFLMEDICARE PARAT B, GROUP PTAN
029568010MedicaidFL
029568016MedicaidFL

Other names 1

  • Madison Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040102000848 FL Part B Supplier - Clinic/Group Practice 6103737697 Receives reassigned benefits from 21 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Quincy, FL; Wewahitchka, FL; Tallahassee, FL; Perry, FL; Panacea, FL; Madison, FL; Crestview, FL; Eastpoint, FL…
O20141010000258 FL Part A Provider - Federally Qualified Health Center (FQHC) 6103737697 Practice locations: Madison, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144637109. Details of each certification follow.

Federally qualified health center certification: CCN 101185

Legal name
NORTH FLORIDA MEDICAL CENTERS INC
Doing business as
NORTH FLORIDA MEDICAL - MADISON
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 1, 2014
Last certification
Oct 1, 2014
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 5, 1996 in FL
Enrollment address
469 W Base St
Madison, FL 32340-2064

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Wakulla Medical Center16 organizations share this tax ID, including this one
Part of
Wakulla Medical Center

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Patrick Williams Individual Corporate DirectorBoard Member May 28, 2015
Johnny Henderson Individual Corporate DirectorBoard Member May 22, 2022
Barbara E Coulthurst Individual Corporate DirectorTreasurer Apr 22, 2021
Benjamin Harriss Individual Corporate DirectorBoard Member Jun 1, 2018
Patricia Tucker Individual Corporate DirectorChair Jun 21, 2021
Stan Johnson Individual Corporate DirectorBoard Member Mar 27, 2025
Victoria R Wiggins Individual Corporate OfficerVP/Cfo Oct 1, 2016
Frank Williams Individual Corporate DirectorVice-Chair Mar 27, 2025
Lane Lunn Individual Corporate OfficerPresident/Ceo Apr 1, 2017
W-2 Managing EmployeePresident/Ceo Apr 1, 2017
Ella Mae Parrish Individual Corporate DirectorChair Apr 22, 2021
Robert Grayson Shepard Individual Corporate DirectorBoard Member Apr 22, 2021
Berta Jean Kemp Individual Corporate DirectorBoard Member Jan 18, 1996
Perla Palomo Individual Corporate DirectorSecretary Mar 22, 2023

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
North Monroe Medical CenterTallahassee, FL, CCN 681123 Federally qualified health center Operational/Managerial Control Jan 25, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782432000000",
    "number": "1144637109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 REMINGTON GREEN CIR STE 2",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323081550",
            "telephone_number": "850-385-4494",
            "fax_number": "850-298-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 W BASE ST",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323402064",
            "telephone_number": "850-973-1402",
            "fax_number": "850-973-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FLORIDA MEDICAL CENTERS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH FLORIDA MEDICAL CENTERS, INC.",
        "enumeration_date": "2014-07-22",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A",
        "authorized_official_last_name": "LUNN",
        "authorized_official_first_name": "LANE",
        "authorized_official_middle_name": "MILLER",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "850-385-4494"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PARAT B, GROUP PTAN",
            "identifier": "99388",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029568010",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029568016",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madison Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, FL

Sources for this page

Verify at the official NPI Registry.