Alli'S Health and Wellness LLC
Organization Active NPI Primary Care Clinic/Center · Chipley, FL
NPI 1487545950 · NPPES record last updated Sep 24, 2025
Key facts
- NPI
- 1487545950
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- ALLI'S HEALTH AND WELLNESS LLC
- Practice address
- 735 Main St
Chipley, FL 32428-1535 - Phone
- (850) 676-4747
- Fax
- (850) 676-4748
- NPI assigned
- Jul 14, 2025
- Organization subpart
- No
Authorized official
- Name
- Mary Commander
- Title
- Adm Asst
- Phone
- (334) 248-2484
Practitioners 1
-
Allison Forehand Locke, ARNP-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2331528 | Alli'S Health and Wellness LLC | Certificate of waiver | Oct 2, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260225001190 | FL | Part B Supplier - Clinic/Group Practice | 5991286288 |
Receives reassigned benefits from 1 practitioner Practice locations: Chipley, FL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Yes |
Addresses
Primary practice location
735 Main St
Chipley, FL 32428-1535
Mailing address
735 Main St
Chipley, FL 32428-1535
Phone (850) 676-4747
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- Stacey Dioselina Bailey
- Chrisenie Brusha Bass
All providers in Chipley, FL · Primary Care Clinic/Center in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.