Organization Active NPI

Family Care Center Corp

  • General Practice Physician
  • Marianna, FL
National Provider Identifier
1447654876
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
FAMILY CARE CENTER CORP
Practice address
2928 Daniels St
Marianna, FL 32446-2912
Phone
(850) 526-3555
Fax
(850) 526-3570
NPI assigned
Oct 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Authorized official

Name
Dr. Nolberto Armando Sanchez, MDNPI 1790970788
Title
Owner
Phone
(850) 526-3555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

2928 Daniels St
Marianna, FL 32446-2912

Mailing address

2928 Daniels St
Marianna, FL 32446-2912
Phone (850) 526-3555

Other practice location 1

2101 Northside Dr Unit 502
Panama City, FL 32405-3687
Phone (850) 250-3220

Other identifiers 2

IdentifierTypeStateIssuer
110815100MedicaidFL
0093SOtherFLFLORIDA BLUE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210625000143 FL Part B Supplier - Clinic/Group Practice 6507267796 Receives reassigned benefits from 2 practitioners
Practice locations: Panama City, FL; Marianna, FL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2094142Family Care Center Corp2101 Northside Drive Ste 502, Panama City, FL 32405Certificate of waiverJun 2, 2027

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4253/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

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": "1413244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1447654876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2928 DANIELS ST",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324462912",
            "telephone_number": "850-526-3555",
            "fax_number": "850-526-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2928 DANIELS ST",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324462912",
            "telephone_number": "850-526-3555",
            "fax_number": "850-526-3570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 Northside Dr Unit 502",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "324053687",
            "country_code": "US",
            "telephone_number": "850-250-3220",
            "fax_number": "850-250-3658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY CARE CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-14",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "NOLBERTO",
        "authorized_official_middle_name": "ARMANDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-526-3555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110815100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "0093S",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marianna, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.